Ahmed Awad M
Faculty of Medicine, Department of Medicine, University of Bahr Elghazal, PO Box 102, Khartoum 11111, Sudan.
Saudi Med J. 2010 Jul;31(7):739-46.
Recently, there are increasing published reports that there is a decline in bedside skills of medical students and young doctors. The decline is thought to be due to decline in bedside teaching in medical schools. The aim of this paper is to study the reasons of decline in bedside teaching, and to suggest some remedies for this decline. This study discusses reasons of decline in clinical teaching itemized under 4 subheadings: teaching methods and curricular factors, teachers' factors, students' factors, and patients' factors. We suggest some strategies to improve the status of bedside teaching, including curricular change to better introduce students to properly approach patients clinically, use of community health settings, and outpatient departments as teaching sites and use of clinical skill centers, simulated patient and multimedia programs to enhance clinical skills of students. The situation of bedside teaching is somewhat inadequate, but in adopting innovative solutions, there are hopes for betterment.
最近，越来越多已发表的报告指出，医学生和年轻医生的床边技能有所下降。人们认为这种下降是由于医学院校床边教学的减少所致。本文旨在研究床边教学下降的原因，并针对这种下降提出一些补救措施。本研究讨论了临床教学下降的原因，并将其细分为四个小标题：教学方法和课程因素、教师因素、学生因素和患者因素。我们提出了一些提高床边教学地位的策略，包括改变课程设置，以便更好地引导学生在临床上正确接触患者；利用社区卫生机构和门诊部作为教学场所；利用临床技能中心、模拟患者和多媒体程序来提高学生的临床技能。床边教学的情况有些不尽人意，但通过采用创新解决方案，有望得到改善。
