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Teacher Tips: When Students Teach You Title...

Growth Doesn't Only Flow One Way.

by Shanise Keith

There’s a clear assumption that lives in many classrooms — especially clinical classrooms. The teacher is the expert. The students are the learners. Knowledge flows in one direction.

And in most ways, that’s true. We have the experience. We’ve made the mistakes. We’ve navigated the policies, the procedures, the real-world consequences. Our job is to prepare them to step into patient care safely and competently. But some of the most important growth moments in our careers didn’t come from conferences, textbooks, or clinical work. They came from students, externs, and new hires — anyone just finding their footing in the field. Not because they knew more, but because they showed us something we couldn’t see on our own.

When I was a young student watching my instructor demonstrate butterflies for the first time, I was blown away by her skill. She made the needle insertion seem effortless, like it was natural. She answered all of our questions with enthusiasm and shared her stories from her time in the field. If someone asked her a question she didn’t know, she responded with, “You know, that’s a good question. I’m not sure, but let me see if I can find out.”

Not much later, I watched as a different instructor taught the same skill with a group of students gathered around her. She inserted the needle shakily, clearly unpracticed. She missed the vein, roughly stabbed around a bit trying to fish for it, and gave the student she was demonstrating on a hematoma. She didn’t stop the draw — instead she applied a tube like nothing was wrong. We all watched as blood slowly traveled down the tubing into the collection tube while the hematoma grew in size. She finished the draw and stood up. “Well, that’s how you do it,” she said, with no further instructions.

As the students watching began asking questions, she grew visibly frustrated. “What was that bump on his hand? Does the blood always go that slow?” Instead of answering, she said something along the lines of, “You will learn about those things as you practice.”

We all knew she had messed up and didn’t want to explain. We could feel her embarrassment and anger. To her, questions were a challenge. She couldn’t admit when she didn’t know something — so she made up answers that didn’t make sense, or told us to go look it up ourselves. She would double down rather than acknowledge a mistake. We could all see through her, and we stopped trusting her to give us accurate information.

Both instructors knew phlebotomy. Only one of them taught it.


The Myth of the “All-Knowing” Instructor

I’ve worked with educators who carry themselves as if they are untouchable in the classroom. Their word is final. Their methods are correct because they’ve always done it that way. Questions feel like challenges. Suggestions feel like disrespect.

Students, externs, and new hires in that environment quickly learn two things: don’t ask too much, and don’t think too differently. The classroom — or the department, or the training floor — becomes efficient. Controlled. Predictable. It also becomes smaller.

When we assume we have nothing left to learn, we quietly close the door to growth — both ours and theirs. Teaching clinical skills, especially in phlebotomy, carries real responsibility. We are safeguarding patients through the competence of our graduates. Standards matter. Policies matter. Technique matters.

But humility matters too.

The Student Who Asked “Why?”

Every instructor — and every preceptor, supervisor, or trainer — has experienced it. You’re demonstrating a procedure you’ve performed thousands of times, you explain a step — perhaps one that feels completely obvious — and someone raises a hand: “Why do we do it that way?”

Sometimes it’s a sincere question. Sometimes it’s curiosity. Sometimes it’s quiet skepticism. In those moments, we have options. We can respond with, “Because that’s the policy.” Or, “Because that’s how it’s done.” Or, if we’re feeling defensive, “You’ll understand when you have more experience.”

Or we can pause.

Occasionally, that question reveals something important — a gap in our explanation, an outdated rationale, or a habit we’ve never actually reexamined. There have been times when I’ve answered confidently, only to look up the most current guidance later and realize things had evolved. There have been times when a student’s perspective exposed an assumption I didn’t even know I was carrying.

And there have been times when the honest answer was, “You know, that’s a great question. Let me double-check and get back to you.”

That sentence doesn’t weaken authority. It strengthens credibility. New learners don’t lose respect when we admit we don’t know something. They lose respect when we pretend we do — and they will notice.

When Resistance Is Actually Feedback

Not all lessons come wrapped in polite curiosity. Sometimes they come wrapped in frustration.

A student struggles repeatedly with a skill. A new hire seems disengaged. An extern pushes back against the way something is done. It’s easy — especially when we’re tired — to label them. Unmotivated. Difficult. Not cut out for this. I’ve seen educators and supervisors default to this framing quickly. People become problems to manage rather than individuals to understand.

But occasionally, when we step back and ask what am I missing?, something shifts.

Is my demonstration style reaching visual learners but leaving others behind? Am I explaining the what but not the why? Have I created space for questions — or only for compliance?

I once adjusted the way I taught a foundational technique because multiple students were struggling in the same place. Not because they were incapable, but because my explanation assumed background knowledge they didn’t yet have. Their struggle taught me to slow down. Their questions taught me to clarify. Their confusion actually improved my teaching.

That doesn’t mean every concern requires bending standards. New learners don’t dictate policy. But patterns in their feedback — verbal or behavioral — are mirrors. If several people are missing the same step, it’s probably not a coincidence. Good teachers and trainers are willing to examine the mirror.

The Courage to Be Corrected

There’s a particular discomfort in being corrected in front of a class — or a team. Maybe you misspeak. Maybe you reference an outdated practice. Maybe a student, extern, or new hire who comes from a different clinical setting offers a perspective that’s more current than yours.

Instructors who see themselves as infallible will shut that down fast. But what if, instead, we modeled something different?

“Oh, I hadn’t heard that this procedure had changed. I will look into it, — thank you for bringing that forward.”

Or simply: “I misspoke. Thank you for catching that.”

That moment does something powerful. It demonstrates professionalism. It shows intellectual honesty. It normalizes continuous learning. In healthcare, no one knows everything. Policies change. Evidence evolves. Equipment improves. A rigid mindset in the classroom does not prepare students for a dynamic profession.

If we expect them to accept correction in clinical settings — from nurses, supervisors, physicians, or lab staff — then we have to model how to receive correction with grace. Humility is not weakness. It is professional maturity.

Admitting When We’re Wrong

This may be one of the hardest lessons newer learners teach us.

We make judgment calls. We evaluate performance. We interpret behavior. And sometimes, we misinterpret. Maybe we assumed someone was disengaged when they were overwhelmed. Maybe we thought a new hire was careless when they were anxious. Maybe we responded too quickly out of frustration.

There have been moments in my career when I’ve learned that I was wrong, that I had to correct my teaching and fix my mistakes. That can be uncomfortable. It costs pride. It also builds trust in a way that authority alone never can.

When people see us own our missteps, they learn that professionalism includes accountability. They learn that leadership doesn’t mean perfection. They learn that respect flows in both directions. And perhaps most importantly — they feel seen.

There is a difference between upholding standards and refusing to adapt. Standards protect patients. Stubbornness protects ego.

Good teachers don’t water down expectations. We don’t pass students who are unsafe. We don’t compromise technique for convenience. But we can absolutely examine how we reach those standards. Are there multiple ways to explain a concept? Can we incorporate new tools or teaching aids? Is there a better sequence for skill development?

When students, externs, or new hires ask for clarification, suggest alternate phrasing, or struggle collectively — those are invitations. Not invitations to lower the bar. Invitations to refine the path.

If you find yourself thinking, they just need to conform — it might be worth pausing and asking: conform to what? The standard, or my preference? That distinction matters more than we sometimes want to admit.

The Classroom as a Two-Way Exchange

One of the quiet gifts of teaching — and training, and mentoring — is exposure to diverse backgrounds and experiences. Students, externs, and new hires bring prior healthcare roles, cultural perspectives, generational differences, and technological fluency that may look nothing like our own. They may suggest digital tools we’ve never used. They may approach patient communication in ways that feel unfamiliar. They may question assumptions we didn’t realize were generational. We don’t have to adopt every suggestion. But we can listen. Sometimes innovation enters not from the front of the room — but from the people we’re there to train.

If we frame teaching as a one-way transfer of knowledge, we limit its potential. But if we see it as a professional exchange — where we provide structure, safety, and expertise, and they bring questions, perspective, and fresh eyes — the experience becomes richer for everyone. This doesn’t erase authority. It reframes it. Authority rooted in ego is brittle. Authority rooted in expertise and openness is durable.

New learners can sense the difference. When they know they can ask hard questions without being dismissed, they engage more deeply. When they see that their curiosity is welcomed, they think more critically. When they observe us learning alongside them, they internalize that growth never stops. And that may be one of the most important lessons we ever teach.

An Invitation

f you're reading this and recognizing yourself in any part of it — I have too. Teaching is a skill we develop the same way our students develop theirs: through practice, through mistakes, and through the humbling moments we didn't see coming.

The next time a student, extern, or new hire challenges a point, pause before you respond. The next time several people struggle in the same spot, ask what might need adjusting. The next time you're tempted to say "because I said so," try explaining the why instead. And if you discover something new because of them — say it out loud: "Thank you. That helped me see this differently."

We are responsible for preparing competent, safe professionals. That responsibility is serious. It requires clarity, consistency, and high expectations. But it also requires humility.

The day we believe we have nothing left to learn is the day our teaching stops growing.

Students, externs, and new hires may come to us to learn venipuncture technique, safety protocols, and professional behavior. But if we let them, they will also teach us patience. Adaptability. Reflection. And sometimes, a better way forward.

And that, too, is part of the education.

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