Tips of IM Attendings – Chapter 3 – Domains and skills

Over 10 years we began an interesting research line asking the question, what do learners value in successful ward attending rounds. The major paper in that research has this summary: Thirty-six faculty, 49 residents and 40 students participated. The highest rated attributes (mean rating) were “Teach by example (bedside manner)” (4.50), “Sharing of attending’s thought processes” (4.46), “Be approachable—not intimidating” (4.45), “Insist on respect for all team members” (4.43), “Conduct rounds in an organized, efficient & timely fashion” (4.39), and “State expectations for residents/students” (4.37). Attributes were plotted on a two-dimensional cognitive map, and adequate convergence was achieved. We identified five distinct domains of related attributes: 1) Learning Atmosphere, 2) Clinical Teaching, 3) Teaching Style, 4) Communicating Expectations, and 5) Team Management. Understanding each domain explains the complexity of the ward attending job, and our challenge in running successful rounds. Over the next several chapters we will explore the 5 domains. We used consumer preference techniques to discover these domains. The statistical analysis allowed us to interpret qualitative data and gain some understanding. The domains fit on a 2-dimensional grid. Learning the contrasts in the grid adds even more understanding. We mapped the attributes across a two-dimensional space with attending roles of “manager” and “clinician”, and qualities ...
Source: DB's Medical Rants - Category: Internal Medicine Authors: Tags: Medical Rants Source Type: blogs