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WISE Framework: Teaching Guide for Early Career Hospitalists
1Division of Hospital Medicine Saint Louis University.
Abstract:
Hospitalists play a pivotal role in shaping the clinical and professional growth of medical trainees through teaching, patient care, and mentorship. The WISE Framework-Watchful Observation, Insightful Awareness, Specific Feedback, and Empathetic Communication-offers a structured, practical approach for hospitalist educators to create an engaging and supportive learning environment. Watchful Observation emphasizes intentional assessment of trainees' clinical skills through bedside rounds and direct interactions. Insightful Awareness encourages self-reflection, emotional intelligence, and cultural competence to foster psychological safety. Specific Feedback ensures trainees receive actionable, individualized guidance by incorporating their self-identified goals and progress. Empathetic Communication builds trust, inclusivity, and engagement, reinforcing a learner-centered approach. By integrating these four principles, hospitalists can enhance teaching effectiveness, promote trainee confidence, and optimize patient care. The WISE Framework serves as a valuable tool for hospital medicine educators, ensuring high-quality education while improving job satisfaction and professional fulfillment.
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