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Effective teaching and learning on the wards: easier said than done?
Louise Young1, Amy Orlandi, Benedicte Galichet
1Centre for Medical Education, School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
This study on clinical medical education found that while students and teachers agree on valued learning opportunities, passive learning often dominates, especially during bedside teaching. Educators should focus on quality, blended learning, and protected teaching time for better outcomes.
Area of Science:
- Medical Education
- Clinical Pedagogy
- Graduate Medical Training
Background:
- Clinical placements are crucial for medical education.
- Evaluating teaching and learning effectiveness is essential for curriculum improvement.
- Understanding student and clinician perceptions is key to optimizing clinical learning environments.
Purpose of the Study:
- To assess teaching and learning dynamics during final-year clinical placements.
- To identify effective strategies for medical educators.
- To inform improvements in clinical education efficiency and efficacy.
Main Methods:
- Utilized questionnaires, focus groups, and structured/unstructured observations.
- Involved final-year students and clinicians in a graduate-entry medical program.
- Elicited perceptions of learning opportunities through mixed methods.
Main Results:
- High congruency observed between student and clinician perceptions of learning opportunities.
- Both groups valued hands-on learning and broad knowledge acquisition.
- Passive, low-level cognitive learning dominated sessions, notably bedside teaching.
Conclusions:
- Clinical teaching has both strengths and weaknesses, with aligned views on good practice.
- A disconnect exists between valued learning and practical delivery, and between expectations.
- Emphasizes need for quality, blended learning, protected time, interaction, and faculty development.
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