Teaching methods used by internal medicine residents on rounds: what works?
Vivek T Kulkarni,1 Sanjay M Salgado,2,3 Stephen R Pelletier,4 Helen M Shields3,5,6 1Division of Cardiovascular Medicine, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA; 2Hospitalist Service, Department of Medicine, Brigham and Women’s Hospital, Bo...
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Format: | Article |
Language: | English |
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Dove Medical Press
2019-01-01
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Series: | Advances in Medical Education and Practice |
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Online Access: | https://www.dovepress.com/teaching-methods-used-by-internal-medicine-residents-on-rounds-what-wo-peer-reviewed-article-AMEP |
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author | Kulkarni VT Salgado SM Pelletier SR Shields HM |
author_facet | Kulkarni VT Salgado SM Pelletier SR Shields HM |
author_sort | Kulkarni VT |
collection | DOAJ |
description | Vivek T Kulkarni,1 Sanjay M Salgado,2,3 Stephen R Pelletier,4 Helen M Shields3,5,6 1Division of Cardiovascular Medicine, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA; 2Hospitalist Service, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; 3Harvard Medical School, Boston, MA, USA; 4Office of Educational Quality Improvement, Harvard Medical School, Boston, MA, USA; 5Division of Medical Communications, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; 6Division of Gastroenterology, Hepatology, and Endoscopy, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA Background: The specific teaching methods used by internal medicine residents on walk rounds are unknown.Objectives: 1) To characterize in real time the specific teaching methods used by internal medicine residents on rounds and 2) to identify attributes of successful resident teaching on rounds.Materials and methods: We conducted a prospective mixed-methods study on inpatient medical services at a single academic medical center from September 2016 to January 2017. Participants were internal medicine residents (postgraduate year [PGY]-1, PGY-2, and PGY-3) and attending physicians. Teachers were PGY-2 and PGY-3 residents, and learners were PGY-1 residents. Residents’ teaching on rounds was observed and characterized according to resident demographics, specific teaching methods, and length of time. Participants completed a survey with Likert scale and free-text questions.Results and conclusion: Among 136 surveys across 28 separate teaching encounters, we noted that PGY-3 residents’ teaching was rated significantly better than PGY-2 residents’ teaching. Teaching lasting >1 minute was rated significantly better than teaching lasting Keywords: internal medicine, resident teaching, mixed methods, direct observation |
first_indexed | 2024-12-18T11:57:22Z |
format | Article |
id | doaj.art-5293a6080b8e4294852b4839273d4678 |
institution | Directory Open Access Journal |
issn | 1179-7258 |
language | English |
last_indexed | 2024-12-18T11:57:22Z |
publishDate | 2019-01-01 |
publisher | Dove Medical Press |
record_format | Article |
series | Advances in Medical Education and Practice |
spelling | doaj.art-5293a6080b8e4294852b4839273d46782022-12-21T21:09:01ZengDove Medical PressAdvances in Medical Education and Practice1179-72582019-01-01Volume 10152143685Teaching methods used by internal medicine residents on rounds: what works?Kulkarni VTSalgado SMPelletier SRShields HMVivek T Kulkarni,1 Sanjay M Salgado,2,3 Stephen R Pelletier,4 Helen M Shields3,5,6 1Division of Cardiovascular Medicine, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA; 2Hospitalist Service, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; 3Harvard Medical School, Boston, MA, USA; 4Office of Educational Quality Improvement, Harvard Medical School, Boston, MA, USA; 5Division of Medical Communications, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; 6Division of Gastroenterology, Hepatology, and Endoscopy, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA Background: The specific teaching methods used by internal medicine residents on walk rounds are unknown.Objectives: 1) To characterize in real time the specific teaching methods used by internal medicine residents on rounds and 2) to identify attributes of successful resident teaching on rounds.Materials and methods: We conducted a prospective mixed-methods study on inpatient medical services at a single academic medical center from September 2016 to January 2017. Participants were internal medicine residents (postgraduate year [PGY]-1, PGY-2, and PGY-3) and attending physicians. Teachers were PGY-2 and PGY-3 residents, and learners were PGY-1 residents. Residents’ teaching on rounds was observed and characterized according to resident demographics, specific teaching methods, and length of time. Participants completed a survey with Likert scale and free-text questions.Results and conclusion: Among 136 surveys across 28 separate teaching encounters, we noted that PGY-3 residents’ teaching was rated significantly better than PGY-2 residents’ teaching. Teaching lasting >1 minute was rated significantly better than teaching lasting Keywords: internal medicine, resident teaching, mixed methods, direct observationhttps://www.dovepress.com/teaching-methods-used-by-internal-medicine-residents-on-rounds-what-wo-peer-reviewed-article-AMEPMedical educationresidentpost-graduateroundsinpatient |
spellingShingle | Kulkarni VT Salgado SM Pelletier SR Shields HM Teaching methods used by internal medicine residents on rounds: what works? Advances in Medical Education and Practice Medical education resident post-graduate rounds inpatient |
title | Teaching methods used by internal medicine residents on rounds: what works? |
title_full | Teaching methods used by internal medicine residents on rounds: what works? |
title_fullStr | Teaching methods used by internal medicine residents on rounds: what works? |
title_full_unstemmed | Teaching methods used by internal medicine residents on rounds: what works? |
title_short | Teaching methods used by internal medicine residents on rounds: what works? |
title_sort | teaching methods used by internal medicine residents on rounds what works |
topic | Medical education resident post-graduate rounds inpatient |
url | https://www.dovepress.com/teaching-methods-used-by-internal-medicine-residents-on-rounds-what-wo-peer-reviewed-article-AMEP |
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