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Tandem clerking: maximising workplace learning.

David Ahearn1, Jennifer Eccles, Thomas Jorna

  • 1Department of Elderly Medicine, Wythenshawe Hospital, Manchester, UKDepartment of Anaesthetics, Stepping Hill Hospital, Stockport, UKDepartment of Nephrology, Dorset County Hospital, Dorchester, UKDepartment of Cardiology, Derriford Hospital, Plymouth, Devon, UKFoundation School, North Western Deanery, Manchester, UKDepartments of Medicine and Gastroenterology, Royal Bolton Hospital, Bolton, UK.

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Summary
This summary is machine-generated.

Tandem clerking in medical assessment units (MAUs) enhances junior doctor education by increasing patient exposure and feedback. This collaborative approach improves learning opportunities despite some concerns about autonomy.

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Area of Science:

  • Medical Education
  • Clinical Training
  • Healthcare Management

Background:

  • Medical Assessment Units (MAUs) offer significant educational potential often limited by service demands.
  • Collaborative working models are being explored to enhance learning environments.
  • Tandem clerking pairs junior and senior trainees to manage new admissions, fostering shared decision-making and feedback.

Purpose of the Study:

  • To trial and assess the educational benefits of tandem clerking in a busy district general hospital MAU.
  • To evaluate junior doctors' perceptions of learning, feedback, and task completion under the tandem clerking system.

Main Methods:

  • A 4-month trial of the tandem clerking method was implemented.
  • Anonymous questionnaires gathered quantitative and qualitative data from junior doctors.
  • The study focused on educational outcomes within the MAU setting.

Main Results:

  • Junior doctors reported seeing more patients and a wider variety, with improved feedback and achievement of learning objectives.
  • Respondents noted reduced time on non-educational tasks.
  • While some preferred the new system, others favoured traditional methods, indicating varied experiences with autonomy.

Conclusions:

  • Tandem clerking is an innovative strategy to boost educational value in MAUs through increased patient exposure and feedback.
  • The success of tandem clerking is influenced by the engagement of both junior and senior trainees.
  • This method holds promise for improving postgraduate medical training in acute care settings.