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