Abstract
In this chapter, we explore bedside teaching and its importance in clinical medicine. Bedside teaching was a customary part of training and formalized rounding on the inpatient floor and ICU until recently. As modern medicine has evolved with the advent of new technology, specialized facilities, and duty hour restrictions for trainees, bedside rounding has been depriotitized. Nevertheless, bedside teaching is as relevant today as it was in the mid-seventeenth century. Currently, other teaching modalities have replaced bedside teaching due to its perceived time constraints and emphasis on maximizing efficiency. However, there are countless benefits for bedside teaching and compelling evidence that bedside teaching should play a central role in physician training. Some misperceptions about the limitations of bedside teaching have propagated these sentiments, but the key to success of bedside teaching is through planning and preparation. Included in this chapter are best practice measures that teaching physicians may use to improve not only clinical teaching, but patient centered rounding in the wards, ICU and even in the emergency department and the outpatient settings. The fruits of successful bedside teaching are innumerable and commitment to this modality can be enriching not only to trainees but also to patients and their families’ understanding.
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References
Peters M, ten Cate O. Bedside teaching in medical education: a literature review. Perspect Med Educ. 2014;3(2):76–88. https://doi.org/10.1007/s40037-013-0083-y.
Osler S. On the need of a radical reform in our methods of teaching senior students. Med News. 1903;82:49–53.
Nair BR, Coughlan JL, Hensley MJ. Student and patient perspectives on bedside teaching. Med Educ. 1997;31(5):341–6. https://doi.org/10.1046/j.1365-2923.1997.00673.x.
Cushing H. The life of Sir William Osler. New York: Oxford University Press; 1956.
Linfors EW, Neelon FA. The case for bedside rounds. N Engl J Med. 1980;303(21):1230–3. https://doi.org/10.1056/NEJM198011203032110.
Osler W. Osler, the teacher. Johns Hopkins Hosp Bull. 1919;30:198.
Collins GF, Cassie JMDC. The role of the attending physician in clinical training. Acad Med. 1978;53(5):429–31.
Crumlish CM, Yialamas MA, McMahon GT. Quantification of bedside teaching by an academic hospitalist group. J Hosp Med. 2009;4(5):304–7. https://doi.org/10.1002/jhm.540.
Verghese A, Brady E, Kapur CC, Horwitz RI. The bedside evaluation: ritual and reason. Ann Intern Med. 2011;155(8):550. https://doi.org/10.7326/0003-4819-155-8-201110180-00013.
Reed DA, Levine RB, Miller RG, et al. Effect of residency duty-hour limits. Arch Intern Med. 2007;167(14):1487. https://doi.org/10.1001/archinte.167.14.1487.
Qureshi Z. Back to the bedside: the role of bedside teaching in the modern era. Perspect Med Educ. 2014;3(2):69–72. https://doi.org/10.1007/s40037-014-0111-6.
LaCombe MA. On bedside teaching. Ann Intern Med. 1997;126(3):217–20.
Chudgar SM, Cox CE, Que LG, Andolsek K, Knudsen NW, Clay AS. Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?*. Crit Care Med. 2009;37(1):49–60. https://doi.org/10.1097/CCM.0b013e31819265c8.
Cox CE, Carson SS, Ely EW, et al. Effectiveness of medical resident education in mechanical ventilation. Am J Respir Crit Care Med. 2003;167(1):32–8. https://doi.org/10.1164/rccm.200206-624OC.
Popkin J, Eissa K, Mazor K, Lemay C. The “16-hour rule”: a giant step, but in which direction? Am J Med. 2015;128:922–8.
Fitzgerald FT. Bedside teaching. West J Med. 1993;158(4):418–20.
Ramani S, Orlander JD, Strunin L, Barber TW. Whither bedside teaching? A focus-group study of clinical teachers. Acad Med. 2003;78(4):384–90.
Gonzalo JD, Chuang CH, Huang G, Smith C. The return of bedside rounds: an educational intervention. J Gen Intern Med. 2010;25(8):792–8. https://doi.org/10.1007/s11606-010-1344-7.
Almoosa KF, Goldenhar LM, Puchalski J, Ying J, Panos RJ. Critical care education during internal medicine residency: a national survey. J Grad Med Educ. 2010;2(4):555–61. https://doi.org/10.4300/JGME-D-10-00023.1.
Bokken L, Rethans J-J, Scherpbier AJJA, van der Vleuten CPM. Strengths and weaknesses of simulated and real patients in the teaching of skills to medical students: a review. Simul Healthc J Soc Simul Healthc. 2008;3(3):161–9. https://doi.org/10.1097/SIH.0b013e318182fc56.
Mangione S. Cardiac auscultatory skills of physicians-in-training: a comparison of three English-speaking countries. Am J Med. 2001;110(3):210–6.
Cooper D, Beswick W, Whelan G. Intensive bedside teaching of physical examination to medical undergraduates: evaluation including the effect of group size. Med Educ. 1983;17(5):311–5.
Heckmann JG, Bleh C, Dutsch M, Lang CJG, Neundurfer B. Does improved problem-based teaching influence students? Knowledge at the end of their neurology elective? An observational study of 40 students. J Neurol. 2003;250(12):1464–8. https://doi.org/10.1007/s00415-003-0255-5.
Landry M-A, Lafrenaye S, Roy M-C, Cyr C. A randomized, controlled trial of bedside versus conference-room case presentation in a pediatric intensive care unit. Pediatrics. 2007;120(2):275–80. https://doi.org/10.1542/peds.2007-0107.
Medicine I of. In: Graham R, Mancher M, Wolman DM, Greenfield S, Steinberg E, editors. Clinical practice guidelines we can trust: standards for developing trustworthy clinical practice. Washington, DC: National Academies Press (US); 2011. https://doi.org/10.17226/13058.
Vazquez R, Vazquez Guillamet C, Adeel Rishi M, et al. Physical examination in the intensive care unit: opinions of physicians at three teaching hospitals. Southwest J Pulm Crit Care. 2015;10(1):34–43. https://doi.org/10.13175/swjpcc165-14.
Oropello JM, Pastores SM, Kvetan V. In: Brian B, Christie N, editors. Critical care. 1st ed. New York: McGraw Hill Medical; 2017.
Carlos WG, Kritek PA, Clay AS, Luks AM, Thomson CC. Teaching at the bedside: maximal impact in minimal time. Ann Am Thorac Soc. 2016;13(4):545–8. AnnalsATS.201601-018AS. https://doi.org/10.1513/AnnalsATS.201601-018AS.
Pitt MB, Orlander JD. Bringing mini-chalk talks to the bedside to enhance clinical teaching. Med Educ Online. 2017;22(1):1–7. https://doi.org/10.1080/10872981.2017.1264120.
Roop SA, Pangaro L. Effect of clinical teaching on student performance during a medicine clerkship. Am J Med. 2001;110(3):205–9.
Irby DM. Excellence in clinical teaching: knowledge transformation and development required. Med Educ. 2014;48(8):776–84. https://doi.org/10.1111/medu.12507.
Cunningham AS, Blatt SD, Fuller PG, Weinberger HL. The art of precepting. Arch Pediatr Adolesc Med. 1999;153(2):114–6. https://doi.org/10.1001/archpedi.153.2.114.
Aagaard E, Teherani A, Irby DM. Effectiveness of the one-minute preceptor model for diagnosing the patient and the learner: proof of concept. Acad Med. 2004;79(1):42–9.
Wolpaw T, Papp KK, Bordage G. Using SNAPPS to facilitate the expression of clinical reasoning and uncertainties: a randomized comparison group trial. Acad Med. 2009;84(4):517–24. https://doi.org/10.1097/ACM.0b013e31819a8cbf.
Bing-You RG, Sproul MS. Medical students’ perceptions of themselves and residents as teachers. Med Teach. 1992;14(2–3):133–8.
Weiss V, Needlman R. 1998 undefinedTo teach is to learn twice: resident teachers learn more. Arch Pediatr. 1998;158:190–2.
Ramani S. Twelve tips to improve bedside teaching. Med Teach. 2003;25(2):112–5. https://doi.org/10.1080/0142159031000092463.
Telner D, Bujas-Bobanovic M, Chan D, et al. Game-based versus traditional case-based learning: comparing effectiveness in stroke continuing medical education. Can Fam Physician. 2010;56(9):e345–51.
Akl EA, Kairouz VF, Sackett KM, et al. Educational games for health professionals. In: Akl EA, editor. Cochrane database of systematic reviews. Chichester: Wiley; 2013. p. CD006411. https://doi.org/10.1002/14651858.CD006411.pub4.
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Bishara, J., Hammond, T.C. (2019). Teaching at the Bedside. In: Kritek, P., Richards, J. (eds) Medical Education in Pulmonary, Critical Care, and Sleep Medicine. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-10680-5_7
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