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Medical student outcomes after family-centered bedside rounds
Elizabeth D Cox1, Jayna B Schumacher, Henry N Young
1Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin, Madison 53792, USA. ecox@wisc.edu
Academic Pediatrics
|March 12, 2011
Summary
Family-centered bedside rounds (FCBRs) positively impact medical student attitudes toward family involvement. However, students express concerns about communication and physical exam skill teaching during these educational sessions.
Area of Science:
- Medical Education
- Pediatrics
- Patient-Centered Care
Background:
- Family-centered bedside rounds (FCBRs) are recommended for enhancing trainee education, patient outcomes, and family satisfaction.
- Recent years have seen a decline in bedside teaching, potentially impacting trainee development and increasing student concerns.
Purpose of the Study:
- To examine medical students' concerns, teaching evaluations, and attitudes following participation in FCBRs during pediatric clerkships.
- To assess the impact of FCBRs on student perceptions of teaching effectiveness and patient communication.
Main Methods:
- Cross-sectional and pre-post clerkship surveys administered to 113 medical students.
- Students reported frequencies of concerns and teaching experiences using a 5-point Likert scale.
- Attitudes towards FCBRs were assessed using a 7-point Likert scale before and after the clerkship.
Main Results:
- The most frequent student concern was presenting information understandably to patients and families (34.5%).
- Most students frequently experienced 12 of 17 teaching items, but physical exam skill teaching was least frequent (20.3%).
- Student attitudes regarding FCBR benefits for families improved significantly (P < .001), but preference over traditional rounds remained neutral (P > .05).
Conclusions:
- Students generally hold positive attitudes towards FCBRs and report frequent inpatient teaching.
- Opportunities exist to address student concerns regarding communication and enhance the teaching of physical exam skills within FCBRs.
- FCBRs represent a valuable venue for medical education, with potential for further optimization.
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