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Teaching models in an ambulatory training program.

W T Branch1

  • 1Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115.

Journal of General Internal Medicine
|January 1, 1990
PubMed
Summary
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Ambulatory care training in internal medicine relies on practice models that enhance resident learning. Key elements include faculty mentoring, structured curricula, and effective patient communication strategies for better physician training.

Area of Science:

  • Medical Education
  • Internal Medicine Training
  • Ambulatory Care Practice

Background:

  • Ambulatory care training is crucial for internal medicine residents.
  • The practice model significantly impacts resident learning experiences.
  • Resident-faculty group practices offer a beneficial environment for training.

Purpose of the Study:

  • To outline essential components of an effective ambulatory care training program.
  • To emphasize the importance of resident-patient interactions in learning.
  • To highlight methods for improving resident communication skills.

Main Methods:

  • Focusing on resident-patient interactions as the core of the teaching program.
  • Implementing longitudinal faculty mentoring for residents.

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  • Developing a structured curriculum covering clinical and nonclinical aspects of patient care.
  • Utilizing innovative teaching methods such as role-modeling, videotaping, and role-playing.

    • Main Results:

    • Learning is centered on resident-patient interactions within the practice setting.
    • Longitudinal faculty mentoring and a balanced curriculum are major program features.
    • Effective communication and interaction skills are developed through various teaching strategies.
    • Feedback mechanisms are integral for shaping residents' attitudes and values.

    Conclusions:

    • A well-structured ambulatory care training program enhances resident education.
    • Resident-faculty group practices provide a robust setting for comprehensive internal medicine training.
    • Focusing on patient interaction, mentoring, and feedback is key to developing competent physicians.