Attending physicians’ attitudes towards physical exam and bedside teaching

Background: Medical education has experienced a gradual shift away from traditional bedside attending rounds, from 75% of rounds occurring at bedside in the 1960s to about 30% today. Aim: To examine attending physicians' attitudes towards bedside teaching and physical exam. Methods: Anony...

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Main Authors: Revekka Babayev, Leanne Tortez, Andrzej Kozikowski, Gisele Wolf-Klein, John Loehner, Yosef Dlugacz, Renee Pekmezaris
Format: Article
Language:English
Published: Association for Medical Education in Europe (AMEE) 2016-06-01
Series:MedEdPublish
Subjects:
Online Access:https://www.mededpublish.org/Manuscripts/394
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spelling doaj-88c98306ba544c3581facf3d138555c02020-11-25T02:03:08ZengAssociation for Medical Education in Europe (AMEE)MedEdPublish2312-79962016-06-0151Attending physicians’ attitudes towards physical exam and bedside teachingRevekka Babayev0Leanne Tortez1Andrzej Kozikowski2Gisele Wolf-Klein3John Loehner4Yosef Dlugacz5Renee Pekmezaris6Albert Einstein College of Medicine, Bronx, NYNorthwell Health, Great Neck, NYNorthwell Health, Great Neck, NYNorthwell Health, Great Neck, NYMontefiore Medical Center, Bronx, NYKrasnoff Quality Management Institute, Great Neck, NYNorthwell Health, Great Neck, NYBackground: Medical education has experienced a gradual shift away from traditional bedside attending rounds, from 75% of rounds occurring at bedside in the 1960s to about 30% today. Aim: To examine attending physicians' attitudes towards bedside teaching and physical exam. Methods: Anonymous survey of medical attendings in six academic hospitals. Results: 77% of respondents (n=97) completed the survey. The vast majority (89%) of attendings concurred that physical diagnosis skills are essential, felt that more emphasis on bedside teaching is needed (77%), and believed that bedside teaching should be a priority (71%). Additionally, 87% reported that bedside rounds are important to patient care. Yet, only 31% reported conducting teaching rounds at bedside. Finally, only 5% of attendings trained outside the US expressed fear of poor teaching performance in front of house staff, compared with US trained attendings (28%, p=0.023). Conclusion: Physicians are spending less and less time at the bedside, particularly those trained within the United States. At a time when the U.S. healthcare system is struggling to meet the increasing demand of escalating costs and declining patient satisfaction, the return to bedside teaching may be a surprisingly simple and untapped solution. https://www.mededpublish.org/Manuscripts/394bedsideteachingmedical educationphysicianattitudes
collection DOAJ
language English
format Article
sources DOAJ
author Revekka Babayev
Leanne Tortez
Andrzej Kozikowski
Gisele Wolf-Klein
John Loehner
Yosef Dlugacz
Renee Pekmezaris
spellingShingle Revekka Babayev
Leanne Tortez
Andrzej Kozikowski
Gisele Wolf-Klein
John Loehner
Yosef Dlugacz
Renee Pekmezaris
Attending physicians’ attitudes towards physical exam and bedside teaching
MedEdPublish
bedside
teaching
medical education
physician
attitudes
author_facet Revekka Babayev
Leanne Tortez
Andrzej Kozikowski
Gisele Wolf-Klein
John Loehner
Yosef Dlugacz
Renee Pekmezaris
author_sort Revekka Babayev
title Attending physicians’ attitudes towards physical exam and bedside teaching
title_short Attending physicians’ attitudes towards physical exam and bedside teaching
title_full Attending physicians’ attitudes towards physical exam and bedside teaching
title_fullStr Attending physicians’ attitudes towards physical exam and bedside teaching
title_full_unstemmed Attending physicians’ attitudes towards physical exam and bedside teaching
title_sort attending physicians’ attitudes towards physical exam and bedside teaching
publisher Association for Medical Education in Europe (AMEE)
series MedEdPublish
issn 2312-7996
publishDate 2016-06-01
description Background: Medical education has experienced a gradual shift away from traditional bedside attending rounds, from 75% of rounds occurring at bedside in the 1960s to about 30% today. Aim: To examine attending physicians' attitudes towards bedside teaching and physical exam. Methods: Anonymous survey of medical attendings in six academic hospitals. Results: 77% of respondents (n=97) completed the survey. The vast majority (89%) of attendings concurred that physical diagnosis skills are essential, felt that more emphasis on bedside teaching is needed (77%), and believed that bedside teaching should be a priority (71%). Additionally, 87% reported that bedside rounds are important to patient care. Yet, only 31% reported conducting teaching rounds at bedside. Finally, only 5% of attendings trained outside the US expressed fear of poor teaching performance in front of house staff, compared with US trained attendings (28%, p=0.023). Conclusion: Physicians are spending less and less time at the bedside, particularly those trained within the United States. At a time when the U.S. healthcare system is struggling to meet the increasing demand of escalating costs and declining patient satisfaction, the return to bedside teaching may be a surprisingly simple and untapped solution.
topic bedside
teaching
medical education
physician
attitudes
url https://www.mededpublish.org/Manuscripts/394
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