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Student involvement on teaching rounds.

Andrew R Hoellein1, Christopher A Feddock, John F Wilson

  • 1KY Clinic K509, Lexington, KY, 40536, USA. arhoel0@uky.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|October 18, 2007
PubMed
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Medical student involvement in teaching rounds enhances attending physician teaching quality. Higher student engagement leads to better resident evaluations, benefiting the entire inpatient medical team.

Area of Science:

  • Medical Education
  • Internal Medicine
  • Clinical Teaching

Background:

  • Inpatient internal medicine education faces challenges in maintaining a supportive learning environment.
  • A hypothesis suggested resident perception of attending teaching value might decrease with medical student involvement.

Purpose of the Study:

  • To investigate the impact of medical student involvement on the perceived quality of attending physician teaching during inpatient rounds.

Main Methods:

  • Trained research assistants observed 166 teaching rounds over two summers.
  • Data collected included patient census, team call status, round content, and learner-rated quality of attending teaching via surveys.

Main Results:

  • Attending teaching quality ratings were highest when medical students were highly involved.

Related Experiment Videos

  • High student involvement independently predicted higher resident evaluations of teaching rounds (P < .0001).
  • Conclusions:

    • Optimal teaching quality was observed with maximum medical student involvement.
    • Medical student participation is not a zero-sum game; it enhances the learning experience for all. Attending investment in medical student education benefits the entire inpatient team.