BEDSIDE TEACHING-MAKING IT AN EFFECTIVE INSTRUCTIONAL TOOL

Authors

  • Ishtiaq Ali Khan

Abstract

College of Medicine, Northern Border University Arar, Kingdom of Saudi ArabiaBackground: Bedside teaching is defined as any teaching in the presence of patient and is the core teaching strategy during the clinical years of a medical student. Although it is considered the most effective method to teach clinical and communication skills but its quality is deteriorating with the passage of time. The objective of this study is to explore faculty’s perceptions about bedside teaching. Methods: This study was conducted in clinical disciplines of Ayub Medical College and hospital Abbottabad, Pakistan from January 2012 to July 2012. Pragmatic paradigm was selected to gather both quantitative and qualitative information. Data was collected sequentially to validate findings. Perceptions of all professors of clinical subjects about bed side teaching were recorded on a close-ended structured questionnaire. Then in-depth interviews were taken from 5 professors using an open ended questionnaire. Quantitative data was analysed using SPSS-16. Qualitative research data was analysed through content analysis. Results: Out of 20 professors of clinical departments 18 agreed to respond to the questionnaire assessing their perceptions about bed side teaching. Non-existence of bedside teaching curriculum, lack of discipline in students and faculty, lack of accountability, poor job satisfaction and low salary were identified as major factors responsible for decline in quality of bedside teaching. Most of them advocated that curriculum development, planning bedside teaching, implementation of discipline and accountability, improved job satisfaction and performance based promotions will improve quality of clinical teaching. Conclusions: Curriculum development for bedside teaching, institutional discipline, application of best planning strategies, performance based appraisal of faculty and good job satisfaction can make bedside teaching an effective instructional tool.Keywords: Bedside teaching, instructional tool, clinical curriculum, clinical teaching planning

References

Ray S, Ganguli P. Bedside teaching. BMJ Careers 2009. [Accessed on Dec 22, 2012] Available from: http://careers.bmj.com/careers/advice/view-article.html?id=20000377

Mackie I. The Importance of Bedside Teaching. Can J Gen Intern Med 2007;2(1):31–3.

Mackenzie N, Knipe S. Research dilemmas: Paradigms, methods and methodology. Issues in Educ Res 2006;16:193–205.

Elo S, Kyngas H. The qualitative content analysis process. J Advanced Nursing 2008;62:107–15.

Ramani S. Twelve tips to improve bed side teaching. Med Teach 2003;25:112–5.

Wang-Cheng RM, Barnas GP, Sigmann P, Riendl PA, Young MJ. Bedside case presentations: why patients like them but learners don’t. J Gen Intern Med 1989;4:284–7.

Eaton DM, Cottrell D. Maximising the effectiveness of undergraduateteaching in the clinical setting. Arch Dis Child 1998;79:365–7.

Green-Thompson L, Mcinerney P, Veller M. The evaluation of bedside teaching – an instrument for staff evaluation and student experience: A pilot study at a South African university. S Afr J Surg 2010;48(2):50–2.

K Ahmed Mel B. What is happening to bedside clinical teaching? Med Educ 2002;36:1185–8.

Ramani S, Orlander JD, Strunin L, Barber TW. Whither bedside teaching? A focus-group study of clinical teachers. Acad Med 2003;78:384-90.

Tavabie O, Baker P. Foundation doctors and bedside teaching. BMJ Career 2011. [Accessed on 23 Dec, 2012]. http://careers.bmj.com/careers/advice/view-article.html?id=20002382

Cox K. Planning bedside teaching-4. Teaching round the patient. Med J Aust 1993;185:493–5.

Spencer J. Learning and teaching in the clinical environment. BMJ 2003;326:591–4.

Janicik RW1, Fletcher KE. Teaching at the bedside: a new model. Med Teach 2003;25:127–130.

Williams KN, Ramani S, Fraser B, Orlander JD. Improving bedside teaching: findings from a focus group study of learners. Acad Med 2008;83:257–64.

Pinsky LE, Monson D, Irby DM. How Excellent Teachers Are Made: Reflecting on Success to Improve Teaching. Adv Health Sci Educ 1998;3:207–15.

Published

2014-09-01

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