Shulman R, Wilkerson L, Goldman D A
North York Board of Education, Toronto, Ontario.
Am J Dis Child. 1992 Jan;146(1):55-60. doi: 10.1001/archpedi.1992.02160130057021.
Teaching rounds are a mainstay of most educational programs for interns and residents, but little is known about how they are conducted and the role they play in house staff members' learning. We performed a qualitative study of teaching rounds in an inpatient adolescent service using five data sources: observations, interviews, house staff ratings, results of a house staff retreat, and documents outlining faculty responsibilities. Interns, senior residents, and faculty members expressed differing views regarding the purpose, process, and content of rounds; mutual roles and expectations; and time management. An interactive teaching format focused around the visit of a patient to the conference room stimulated house staff interest and learning to a greater extent than did more traditional case presentations and lectures. These results suggest a need to develop a consensus among faculty and house staff regarding the purpose, content, and process of rounds.
教学查房是大多数实习医生和住院医师教育项目的主要组成部分，但对于其开展方式以及在住院医务人员学习中所起的作用，我们却知之甚少。我们对一个青少年住院服务科室的教学查房进行了定性研究，使用了五个数据源：观察、访谈、住院医务人员评分、住院医务人员务虚会结果以及概述教员职责的文件。实习医生、高级住院医师和教员对于查房的目的、过程和内容、相互的角色和期望以及时间管理表达了不同的观点。与传统的病例汇报和讲座相比，围绕患者到会议室进行查房的互动式教学形式在更大程度上激发了住院医务人员的兴趣和学习积极性。这些结果表明，教员和住院医务人员需要就查房的目的、内容和过程达成共识。
