Journal of General Internal Medicine

, Volume 33, Issue 7, pp 1010–1012 | Cite as

Patient as Co-Teacher on Rounds: a Pilot Study

  • Alyssa A. Perez
  • Stephen R. Pelletier
  • Isaac A. Klein
  • Helen M. Shields
Concise Research Reports


Patients enjoy bedside rounds and perceive providers who engage in bedside rounds as more compassionate.14

The aim of this study was to determine whether the patient as co-teacher at the bedside improved the overall rating of rounds.


This study was approved by Partners Institutional Review Board. Patients, residents, nurses, and attendings provided verbal consent for surveys and written consent to be videotaped.

Study and control patients were asked to participate (AAP and HMS). Interested study patients were “coached” for 15–30 min by the resident (AAP) the day before to ask a question. The resident (AAP) created a brightly colored folder (Staples File Folders, Assorted Colors # 875429) which showed the question on the front and answer inside (see Fig.  1). The answer required approximately 30 min to produce. Rounds began with the patient holding up the question. The team’s answers acted as the jumping off point for teaching by the resident (AAP) filmed by IAK....


patient as co-teacher morning walk rounds questions 



Dr. Alyssa Perez was the third Nancy and Elliot Comenitz Fellow in Medical Education at Brigham and Women’s Hospital. Nancy and Elliot Comenitz are grateful patients of Dr. Marshall Wolf. We are also grateful to Dr. Joel Katz for supporting this study’s being done on the Integrated Teaching Unit at Brigham and Women’s Hospital.

We deeply appreciate the work of all coders of the videotapes specifically Gordon Bae, MD; Rachel Blair, MD; Lawrence Borges, MD, MPH; Julia Caton, MD; Walter Kim, MD, PhD; Jennifer Nayor, MD; Sanjay Salgado, MD; Anubodh Varshney, MD; and Ryan Watson, MD.

This study was presented as a poster at Harvard Medical School’s 2016 Medical Education Day in Boston, Massachusetts.


Project costs were paid through the Nancy and Elliot Comenitz philanthropic fellowship Dr. Alyssa Perez was awarded.

Compliance with Ethical Standards:

This study was approved by Partners Institutional Review Board. Patients, residents, nurses, and attendings provided verbal consent for surveys and written consent to be videotaped.

Conflicts of Interest

The authors declare that they do not have conflict of interest.


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Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • Alyssa A. Perez
    • 1
    • 2
  • Stephen R. Pelletier
    • 1
    • 3
  • Isaac A. Klein
    • 1
    • 2
  • Helen M. Shields
    • 1
    • 2
  1. 1.Harvard Medical SchoolBostonUSA
  2. 2.Department of MedicineBrigham and Women’s HospitalBostonUSA
  3. 3.Office of Educational Quality ImprovementHarvard Medical SchoolBostonUSA

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