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Related Experiment Videos

The resident as teacher during work rounds.

L Wilkerson, L Lesky, F J Medio

    Journal of Medical Education
    |October 1, 1986
    PubMed
    Summary
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    Internal medicine residents primarily teach at the bedside by modeling patient interaction and verifying findings. They less frequently use literature or provide feedback, prompting a new clinical teaching course.

    Area of Science:

    • Medical Education
    • Internal Medicine Training
    • Clinical Teaching Skills

    Background:

    • Residents play a crucial role in educating medical students and peers.
    • Understanding resident teaching practices is essential for improving medical training.
    • Inpatient work rounds offer a unique setting to observe resident-led teaching without direct faculty supervision.

    Purpose of the Study:

    • To examine the teaching behaviors of internal medicine residents during inpatient work rounds.
    • To identify the most and least frequent methods residents use to educate trainees.
    • To inform the development of targeted clinical teaching interventions for residents.

    Main Methods:

    • Observation of 14 first- and second-year internal medicine residents.

    Related Experiment Videos

  • Analysis of 158 patient case reviews during inpatient work rounds.
  • Focus on resident-initiated teaching in the absence of attending faculty.

    • Main Results:

    • Bedside teaching behaviors, such as modeling patient interaction and verifying clinical findings, were most frequent.
    • Brief lectures were commonly used for teaching away from the bedside.
    • Referring to literature, providing feedback, demonstrating skills, and asking questions were least observed teaching behaviors.

    Conclusions:

    • Resident teaching predominantly occurs at the bedside through direct patient care activities.
    • Specific teaching methods, like literature review and feedback, require more emphasis in resident training.
    • A structured course on clinical teaching was developed based on these findings to enhance resident educators' skills.