Tips for IM attendings – Chapter 6 – Clinical Teaching

Clinical Teaching continues to have great importance in successful attending rounds.  Clinical teaching has several important components.  Here are the top components.  Interestingly the lowest rated was teaching evidence based medicine.  Why would that not get a higher rating?  I suspect that learners can look up the evidence, but they cannot read about these characteristics. Teaching by example (ie. good bedside manner) (8) Sharing of attending’s thought processes (4) Setting aside time to teach (9) Ensure attendings have a comprehensive knowledge base (19) Integrate theory with actual patients and findings (18) Teaching throughout rounds (3) Discuss pathophysiology in relation to treatment plan (14) As I discuss rounding style and effectiveness with learners, these comments recur.  Our learners want to see how we interact with patients.  They crave positive role models who demonstrate how to work with patients, keep them informed with both the good and bad news. Our learners desperately want to understand how we think.  While they expect us to make some decisions, they are always more concerned with the why of the decision than the decision itself. Learners expect rounds to be efficient (the managerial skill), but they still want to learn during rounds.  Our challenge becomes clear.  We must learn to run rounds efficiently, and yet take time to teach the nuances of caring for the patients we serve. One cannot identify a single style of rounding that leads to ...
Source: DB's Medical Rants - Category: Internal Medicine Authors: Tags: Medical Rants Source Type: blogs