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Edwards L, Quinton N. Good bedside teaching on secondary care placement: The student perspective. CLINICAL TEACHER 2024; 21:e13628. [PMID: 37646369 DOI: 10.1111/tct.13628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Accepted: 08/01/2023] [Indexed: 09/01/2023]
Abstract
BACKGROUND Students' experience of bedside teaching (BST) on clinical placement has significantly decreased, with a shift in teaching away from the bedside. The educational value of teaching on ward rounds (WRs) has also been debated. OBJECTIVE This research considered what constitutes good BST from the student perspective; guidance to support clinician teachers was produced. METHODS Semi-structured interviews were conducted with 10 second-year students and 10 fourth- and fifth-year students studying at Leeds Medical School. Data were analysed using thematic analysis. FINDINGS We identified four themes: (1) benefits of early clinical experience, (2) qualities of good clinical teachers, (3) shift in preference from structured to opportunistic learning and (4) increased valuing of the WR as a site of learning. CONCLUSION The structure of BST should be adapted to the learners' stage of training with a graduated approach, from a structured preparation for observation to authentic, observed participation with feedback. Students' early lack of clinical knowledge makes it difficult to meaningfully observe and partake in ward activities. During early clinical experience, good teaching is perceived as structured and supported by the clinician. As learners progress, they are better able to engage in opportunistic learning, which actively involves them in patient care. They also valued structured teaching and feedback. While patient contact should be supervised, a more participatory, observed and feedback-driven approach should be adopted in the later years. Teaching must address both knowledge and skills required to be a doctor; this is facilitated by an active role in patient care.
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Affiliation(s)
| | - Naomi Quinton
- Leeds Institute of Medical Education, School of Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK
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Shaik T, Aggarwal K, Singh B, Sawhney A, Naguluri R, Jain R, Jain R. A comprehensive analysis of different types of clinical rounds in hospital medicine. Proc AMIA Symp 2023; 37:135-141. [PMID: 38173995 PMCID: PMC10761014 DOI: 10.1080/08998280.2023.2261086] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Accepted: 09/15/2023] [Indexed: 01/05/2024] Open
Abstract
Table rounds and bedside rounds are two methods healthcare professionals employ during clinical rounds for patient care and medical education. Bedside rounds involve direct patient engagement and physical examination, thus significantly impacting patient outcomes, such as improving communication and patient satisfaction. Table rounds occur in a conference room without the patient present and involve discussing patient data, which is more effective in fostering structured medical education. Both bedside and table rounds have pros and cons, and healthcare professionals should consider the specific requirements of their patients and medical trainees when deciding which approach to use. This research utilized a comprehensive search to identify relevant resources, such as university website links, as well as a PubMed search using relevant keywords such as 'bedside rounding,' 'table rounding,' and 'patient satisfaction.' Relevance, publication date, and study design were the basis for inclusion criteria. This study compared the effectiveness of these two methods based on physician communication, medical education, patient care, and patient satisfaction.
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Affiliation(s)
- Tanveer Shaik
- Avalon University School of Medicine, Willemstad, Curacao
| | | | | | - Aanchal Sawhney
- Department of Internal Medicine, Crozer Chester Medical Center, Upland, Pennsylvania, USA
| | - Riya Naguluri
- Great Valley High School, Malvern, Pennsylvania, USA
| | - Rohit Jain
- Avalon University School of Medicine, Willemstad, Curacao
| | - Rahul Jain
- Avalon University School of Medicine, Willemstad, Curacao
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Eljack MMF, Ahmed FMT, Hasabo EA, Alfatih M, Ahmed KAHM, Elnaiem W, Mohamed MTA, Ahmed A, Hamood FMM, Hajhamd AAI, Ahmed RMM, Mansoor AFAB, Ahmed EM, Eisa YMEA, Taha NYM, Ahmed ME, Alnour AAD, Tayfour DOA, Mohammed LM, Ahmed EAZE, Tajeldeen S, Abdelrasoul MA, Balla IMM, Fadl HAO, Ahmed TAH, Yousif A, Abdulrazique QA, Sabri M, Dafalla HN, Alrahaman MF, Mohamed FRG, Ahmed AMOB, Alrabee NHK, Elbannan Elhassan Mohamed Ali M, Ali MM, Ibrahim AAA, A Wahaballah A, Elbagir M, Alkhier EA, Ahmed MA, Mustafa A, Altigany AK, Elaagib A, Almakey Y, Altayeb IKM, Humida G, Mohamed MHA, Ali ATM, Ahmed OMM. The educational value of ward rounds as a learning and teaching opportunity for house officers, medical officers, and registrars in Sudanese hospitals: a multi-center cross-sectional study. BMC MEDICAL EDUCATION 2023; 23:426. [PMID: 37291568 DOI: 10.1186/s12909-023-04404-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 05/26/2023] [Indexed: 06/10/2023]
Abstract
BACKGROUND Ward rounds are a cornerstone in the educational experience of junior doctors and an essential part of teaching patient care. Here, we aimed to assess the doctors' perception of ward rounds as an educational opportunity and to identify the obstacles faced in conducting a proper ward round in Sudanese hospitals. METHOD A cross-sectional study was conducted from the 15th to the 30th of January 2022 among house officers, medical officers, and registrars in about 50 teaching and referral hospitals in Sudan. House officers and medical officers were considered the learners, while specialist registrars were considered the teachers. Doctors' perceptions were assessed using an online questionnaire, with a 5-level Likert scale to answer questions. RESULTS A total of 2,011 doctors participated in this study (882 house officers, 697 medical officers, and 432 registrars). The participants were aged 26.9 ± 3.2 years, and females constituted about 60% of the sample. An average of 3.1 ± 6.8 ward rounds were conducted per week in our hospitals, with 11.1 ± 20.3 h spent on ward rounds per week. Most doctors agreed that ward rounds are suitable for teaching patient management (91.3%) and diagnostic investigations (89.1%). Almost all the doctors agreed that being interested in teaching (95.1%) and communicating appropriately with the patients (94.7%) make a good teacher in ward rounds. Furthermore, nearly all the doctors agreed that being interested in learning (94.3%) and communicating appropriately with the teacher (94.5%) make a good student on ward rounds. About 92.8% of the doctors stated that the quality of ward rounds could be improved. The most frequently reported obstacles faced during ward rounds were the noise (70%) and lack of privacy (77%) in the ward environment. CONCLUSION Ward rounds have a special value in teaching patient diagnosis and management. Being interested in teaching/learning and having good communication skills were the two major criteria that make a good teacher/learner. Unfortunately, ward rounds are faced with obstacles related to the ward environment. It is mandatory to ensure the quality of both ward rounds' teaching and environment to optimize the educational value and subsequently improve patient care practice.
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Affiliation(s)
| | | | | | - Mohammed Alfatih
- Faculty of Medicine, University of Alzaiem Alazhari, Khartoum, Sudan
| | | | - Walaa Elnaiem
- Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | - Alaa Ahmed
- Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Hiba Awadelkareem Osman Fadl
- Department of Haematology, Faculty of Medical Laboratory Sciences, AL-Neelain University, Khartoum, Sudan
- Department of Medical Laboratory, Sudanese Medical Research Association, Khartoum, Sudan
| | | | - Abdalla Yousif
- Faculty of Medicine, University of Red Sea, Port Sudan, Sudan
| | | | - Mohammed Sabri
- Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan
- Department of Physiology, Omdurman Islamic University, Khartoum, Sudan
| | | | | | | | | | | | | | - Monia Mukhtar Ali
- Faculty of Medicine, University of Alzaiem Alazhari, Khartoum, Sudan
| | | | | | - Mohammed Elbagir
- Faculty of Medicine, University of Alzaiem Alazhari, Khartoum, Sudan
| | | | - M A Ahmed
- Faculty of Medicine, University of Dongola, Dongola, Sudan
| | - Alamin Mustafa
- Faculty of Medicine, University of ALNeelain, Khartoum, Sudan
| | | | - Amna Elaagib
- Faculty of Medicine, Omdurman Alahlia University, Om Durman, Sudan
| | - Yahya Almakey
- Faculty of Medicine, Alribat National University, Khartoum, Sudan
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