Bedside Teaching
Advantages
- Presence of patients strengthens the learning possibilities
- Presence of patients allows for clarification of the H&P
- Suited for using role modeling as teaching techniques
- Opportunity to demonstrate PE and teach procedures
Disadvantages
- Takes more time
- Competing demands
- Patient discomfort
Bedside Teaching with The Learner and Patient
Pre-Rounds Outside The Room
Orient the Team for Bedside Teaching with Patients
- Establish learning goals.
- Establish a safe environment.
- Orient the learners to the structure.
- Orient the patients about the purpose- patient care and teaching.
- Be prepared for unexpected moments.
Bedside Rounds with Patient
Introduction, Interaction, Observation, Instruction
- Facilitate learner-patient interaction.
- Demonstrate clinical skills.
- Role-model professionalism & humanism.
- Engage the patient throughout.
- Assess learner clinical skills.
Post-Rounds Outside of The Room
Debriefing, Feedback/Coaching Reflection with Leaders.
- Elicit patient's reaction to the encounter.
- Summarize key teaching points.
- Allow learners to ask questions & clarify.
- Reflect on the encounter.
- Plan the next bedside session.
Bedside Teaching a Directed Observation Technique
Pre-Observation
Engage Learners in Very Busy Clinical Environments
- Discuss with the learner what they would like to learn from an observation.
- Based on what the learner identifies & your knowledge of the patient, identify a directed observation learning point specific to the patient.
- Prime the learner by focusing on signs & symptoms relevant to the chief complaint.
Demonstration by Faculty & Observation by Learner
Provide Care to The Patient
- Introduce yourself & the learner to the patient; clarify to the patient the learner will be observing the encounter.
- Conduct the encounter & demonstrate what was agreed upon.
- Think out loud, instruct the learner to pay attention to your communication with the patient.
Debrief Observation: Clarify the Learning Point
Post Observation
- Ask the learner what they observed.
- Discuss the outcome of the encounter and reiterate learning points.
- Leave time for questions, clarifications, identify a learner follow-up