Clinical Teaching:Bedside vs. ClassroomRonald D. Szyjkowski, MD, FACG

Upstate Medical UniversitySUNY Syracuse

“Learning is nothing but discovery that something is possible: To teach

means to show a person that something is possible”

Frederick Perls

What is Clinical Teaching?

• Knowledge base• Basic clinical knowledge• Core principles• Skills development• Example

“no teaching without a patient for a text, and the best teaching

is that taught by the patient himself.”

Osler, 1903

What is Clinical Teaching?

• Knowledge base• Basic clinical knowledge• Core principles• Skills development• Example

It is what we do.

What is Clinical Teaching?

• Student ?• Resident ?• Fellow ?• Ourselves ?

Introduction

• Do we all use the same constructs?

Clinical Teaching: How do we do it?

Clinical Teaching: How do we do it?

Does the learner’s level of training

matter?

Do we all use the same constructs?

“There are as many ways to teach as there are to learn.”

“Visual learning is the only way anyone learns.”

“You can’t make someone learn so there is no reason to have any

required learning.”

Clinical Teaching: How do we do it?

Again, does the learner’s level of training matter?

The Difficulties• What is your style?– Bedside– Classroom

• Box Groups

The Difficulties• Which is better?• Which is worse?

• Box Groups

Clinical Teaching: How do we do it?

ApprenticeshipMentoring

Role ModelingBedside

Classroom

Bedside Teaching

• the most important methods of teaching

• the most neglected and

• most deficient

ScopeBedside Teaching

• the most important methods of teaching

• the most neglected and

• most deficient

Classroom Teaching

• THE way for large group, standardized teaching

• the most stressed and

• the least effective

Bedside Teaching

• Patient focused• Pertinent to learner, teacher and patient• Required

Classroom Teaching

• Information focused• Pertinence not obvious• Required

Clinical Teaching:Bedside vs. Classroom

Clinical Teaching:Bedside AND Classroom

Clinical Teaching

• A lesson plan?

ATTENTIONYou are know being

taught!

Clinical Teaching

• Set your own objectives or plan

Clinical Teaching

• Set your own objectives or plan• Provide a good teaching environment

Clinical Teaching

• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication

Clinical Teaching

• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication• Set a good example (Role Modeling)

Clinical Teaching

• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication• Set a good example (Role Modeling)• Involve the learner

Clinical Teaching

• Set your own objectives or plan• Provide a good teaching environment• Ensure good communication• Set a good example (Role Modeling)• Involve the learner• Observe the student

ATTENTIONThis is bedside

teaching!

Clinical Teaching• Agree on the ground rules

Clinical Teaching• Punctuality• Dress• Respect• Confidentiality• How much time• Clear expectations

Educational Golden Rule:

The teacher should treat the student as the teacher would have the student treat the patient.

Jennifer L. Peel, Ph.D. UTHSCSA

Review Progress

• “Where you were”• “Where you are”• “Where you are going”• “What you need to do to get there”

The Two-fers

• How can you get the most bang for your buck?

The Two-fers

• Mini-CSX• Multiple Core Principles• “This is bedside teaching!”• My teacher spends time with me