Related Experiment Video
Updated: Sep 24, 2025
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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[Observing a resident doing a consultation with a patient: goal determines form]
Paul L P Brand1,2, Nynke D Scherpbier3
1UMC Groningen, Wenckebach Instituut voor onderwijs en opleiding, Groningen.
Nederlands Tijdschrift Voor Geneeskunde
|May 2, 2022
Summary
Supervisor observation of residents is an underused educational tool in postgraduate medical education. Direct or indirect methods offer flexibility for assessing clinical skills and improving resident performance.
Area of Science:
- Medical Education
- Clinical Skills Assessment
- Postgraduate Training
Background:
- Supervisor observation is a valuable, yet underutilized, educational strategy in postgraduate medical training.
- Observation methods include direct (supervisor present) and indirect (video recording).
Purpose of the Study:
- To explore the utility and methods of supervisor observation in postgraduate medical education.
- To discuss the application of direct and indirect observation techniques based on educational objectives.
Main Methods:
- Review of observation methodologies in postgraduate medical education.
- Discussion of direct observation (participatory vs. "fly on the wall") and indirect observation (video recording).
Main Results:
- Patient preference in general practice often favors participatory direct observation due to familiarity with the supervisor.
- The "fly on the wall" approach for direct observation requires patient consent and strategic positioning.
- Indirect observation via video recording offers an alternative for specific learning goals, such as consultation efficiency.
Conclusions:
- The choice of observation method (direct vs. indirect) should align with the specific learning objectives and context.
- Effective implementation of "fly on the wall" direct observation necessitates clear communication and patient awareness.
- Leveraging varied observation techniques can enhance the educational impact of supervisor feedback in medical training.
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