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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.

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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


Medicine is learned by the bedside

and not in the classroom.”

Sir William Osler


94%

“bedside teaching time

is valuable”

82%

of residents want MORE

Crumlish CM, et al. Quantification of Bedside Teaching by an Academic Hospitalist Group. J Hospital Medicine 2009; 4:304-7.


Bedside teaching

Bedside Teaching

Your Name Here

Your Organization


Take home points
Take home points

  • Everyone has something to offer

  • Make a road map

  • Stay attentive and flexible


Objectives
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
Who learns on rounds?

Dale, E. Audiovisual Methods in Teaching, 1969, NY: Dryden


So what s stopping us
So what’s stopping us???

  • List obstacles to

    performing bedside rounds


Barriers from the survey
Barriers from the survey

  • Time, efficiency

  • Patient privacy

  • Fear of appearing incompetent

  • Inertia

  • Getting key people together



What do people value about clinical bedside teaching
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

Your organization, year

Crumlish CM, et al. 2009


How can we do it
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
Road maps and focused teaching

  • Pick one model

  • Pick a real case

  • Work through the steps

Take 15 minutes


Overcoming obstacles
Overcoming obstacles

  • Time, efficiency

  • Patient privacy

  • Fear of appearing incompetent

  • Inertia

  • Getting key people together


Overcoming obstacles1
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 obstacles2
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 obstacles3
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 obstacles4
Overcoming obstacles

  • Time, efficiency

  • Patient privacy

  • Fear of looking like an idiot

  • Inertia

  • Getting key people together


Overcoming obstacles5
Overcoming obstacles

  • Time, efficiency

  • Patient privacy

  • Fear of looking like an idiot

  • Inertia

  • Getting key people together


Strategies to increase bedside teaching
Strategies to increaseBedside Teaching

See handout


Taking it to the ward
Taking it to the Ward

What can we commit to now?


Objectives1
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 points1
Take home points

  • Everyone has something to offer

  • Make a road map and follow it

  • Stay attentive and flexible


Questions comments
Questions&Comments


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