Bedside Teaching (aka Teaching With the Patient Present!) - PowerPoint PPT Presentation

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Bedside Teaching (aka Teaching With the Patient Present!)

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Bedside Teaching (aka Teaching With the Patient Present!) Originally developed by Glen Drobot, MD Section of General Internal Medicine Bedside Teaching - Objectives ... – PowerPoint PPT presentation

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Title: Bedside Teaching (aka Teaching With the Patient Present!)


1
Bedside Teaching(aka Teaching With the Patient
Present!)
2
  • Originally developed by Glen Drobot, MD
  • Section of General Internal Medicine

3
Bedside Teaching - Objectives
  • By the end of this session, the learner will be
    able to
  • Provide a definition of bedside teaching
  • List advantages and disadvantages of
    incorporating bedside teaching into work rounds
  • Describe the three key steps required for
    effective bedside teaching
  • Discuss the integration of bedside teaching into
    work attending rounds

4
Bedside Teaching
  • In what may be called the natural method of
    teaching, the student begins with the patient,
    continues with the patient and ends his study
    with the patient, using books and lectures as
    tools, as means to an end.

5
Bedside Teaching
  • For the junior student in medicine and surgery
    it is a safe rule to have no teaching without a
    patient for a text, and the best teaching is that
    taught by the patient himself.
  • Sir William Osler, Address to the New York
    Academy of Medicine, 1903

6
What is Bedside Teaching (Not)?
  • Not synonymous with work rounds or attending
    rounds, but can be used as a tool for both
  • Not conference room rounds, hallway rounds, or
    door-jamb rounds

7
What is Bedside Teaching?
  • An experience at the bedside of a patient where
    both the patient and student can learn
    simultaneously
  • The term bedside can be broadened to include
    the outpatient setting, or any other setting
    where patient-physician interaction occurs

8
Advantages/Disadvantages of Bedside Teaching
  • Take 5-10 minutes
  • Pair up with your neighbour
  • Come up with 3 advantages and 3 disadvantages of
    bedside teaching

9
Advantages?
10
Disadvantages?
11
Three Steps for Effective Bedside Teaching
  • Planning the Bedside Teaching Session
  • The Bedside Teaching Session
  • Debriefing after the Bedside Teaching Session

12
Planning the Bedside Teaching Session
13
The Bedside Teaching Session
  • Focus on sensory experiences
  • not discussions about differential diagnoses
  • Review aspects of obtaining medical history or
    demonstrating physical examination

14
The Bedside Teaching Session
  • Involve the patients and family
  • Model professionalism and ethical behaviour
  • Ask questions to probe higher-level learner, not
    just recall
  • Say thank you to the patient

15
Debriefing after the Bedside Teaching Session
  • Faculty Member (superviser)
  • Plan for immediate feedback to learners
  • Create a non-threatening environment so that
    feedback can be received by learners
  • Review process (what worked and what didnt?)

16
Debriefing after the Bedside Teaching Session
  • With the learner review
  • findings (what did you observe?)
  • insights (what does it mean?)
  • objectives (what did you learn?)
  • questions (what still needs to be learned?)
  • Reflect on what has been learned and how to apply
    it to the next encounter

17
Model of Bedside Teaching
Janicik and Fletcher, (2003) Teaching at the
bedside a new model, Medical Teacher, Vol. 25,
No. 2, 2003, pp. 127130
18
  • Video
  • What was done well?
  • What could be improved?

19
Bedside Teaching - Summary
  • Definition of bedside teaching
  • There are advantages and disadvantages of
    incorporating bedside teaching into work rounds
  • Effective bedside teaching requires planning,
    input from teacher and learners during the
    encounter, and debriefing

20
Objectives
  • By the end of this session, the learner will be
    able to
  • Provide a definition of bedside teaching
  • List advantages and disadvantages of
    incorporating bedside teaching into work rounds
  • Describe the three key steps required for
    effective bedside teaching
  • Discuss the integration of bedside teaching into
    work attending rounds

21
  • Thanks!

22
The 5 Micro-Skills
  • Step 1 Get a commitment
  • Step 2 Probe for supporting evidence
  • Step 3 Reinforce what was done well
  • Step 4 Correct errors, suggest improvements
  • Step 5 Teach general rules (take-home points)
  • (Note steps 3 5 can be in any order)
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