note to users of this presentation:
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Note to users of this Presentation: Slides 8, 10, 13-18 have content derived from LRNA’s sent to the learner group prior to the session. These should be updated for each session. On slide 10, the footer “PSFMR 2010” should be replaced by the learner group and year of presentation. - PowerPoint PPT PresentationTRANSCRIPT
Note to users of this Presentation:
Slides 8, 10, 13-18 have content derived from LRNA’s sent to the learner group prior to the session. These should be updated for each session.
On slide 10, the footer “PSFMR 2010” should be replaced by the learner group and year of presentation
“Medicine is learned by the bedsideand not in the classroom.”
Sir William Osler
Crumlish CM, et al. Quantification of Bedside Teaching by an Academic Hospitalist Group. J Hospital Medicine 2009; 4:304-7.
82%
of residents want MORE
94%
“bedside teaching timeis valuable”
Bedside Teaching
Your Name Here
Your Organization
Take home points
• Everyone has something to offer
• Make a road map
• Stay attentive and flexible
Objectives
• Listed obstacles to bedside teaching
• Identified advantages
• Tried out models for bedside teaching
• Found ways to overcome obstacles
• Planned integration into rounds
Who learns on rounds?Read 10%
Hear 20%
See 30%
See & Hear 50%
Say & Write 70%
Do 90%
Dale, E. Audiovisual Methods in Teaching, 1969, NY: Dryden
So what’s stopping us???
•List obstacles to performing bedside rounds
Barriers from the survey
• Time, efficiency
• Patient privacy
• Fear of appearing incompetent
• Inertia
• Getting key people together
•Describe the up-sideto bedside rounds
What do people value about clinical bedside teaching?
• Include pt in team
• See/teach PE skills
• Improve team communication
• Promote discussion
• ↑accurate info from ↓barrier w/ the pt
• Pt-centered care
• PE teaching
• Interpersonal skills
• Communication skills
• Integrating clinical exam w/ dx & mgmt decisions
Crumlish CM, et al. 2009Your organization, year
How can we do it?
• Follow a 12-step model
• Follow a 3-domain model
• Make up our own model
Road maps and focused teaching
• Pick one model
• Pick a real case
• Work through the steps
Take 15 minutes
Overcoming obstacles
• Time, efficiency
• Patient privacy
• Fear of appearing incompetent
• Inertia
• Getting key people together
Overcoming obstacles• Time, efficiency
• Targeted learning points
• Structured time and format
• Patient privacy
• Fear of looking like an idiot
• Inertia
• Getting key people together
Overcoming obstacles• Time, efficiency
• Patient privacy
• Ask permission beforehand
• Pt decides who stays/goes
• Timing of rounds
• Fear of looking like an idiot
• Inertia
• Getting key people together
Overcoming obstacles• Time, efficiency
• Patient privacy
• Fear of looking like an idiot
• EVERYONE has something to offer
• Model professional communication
• Inertia
• Getting key people together
Overcoming obstacles
• Time, efficiency
• Patient privacy
• Fear of looking like an idiot
• Inertia
• Getting key people together
Overcoming obstacles
• Time, efficiency
• Patient privacy
• Fear of looking like an idiot
• Inertia
• Getting key people together
Strategies to increaseBedside Teaching
See handout
Taking it to the Ward
What can we commit to now?
Objectives
• Listed obstacles to bedside teaching
• Identified advantages
• Tried out models for bedside teaching
• Found ways to overcome obstacles
• Planned integration into rounds
Take home points
• Everyone has something to offer
• Make a road map and follow it
• Stay attentive and flexible
Questions&
Comments