Qureshi Zeshan, Seah Matthew, Ross Michael, Maxwell Simon
Centre for Medical Education, The University of Edinburgh, UK.
Clin Teach. 2013 Jun;10(3):141-5. doi: 10.1111/j.1743-498X.2012.00625.x.
Clinical bedside teaching is arguably the most favoured form of teaching by medical students, but has been on the decline in recent years. Junior doctors are often underused as teachers and, with adequate training, may help to solve this problem. Bedside Teachers is a junior doctor-led teaching programme that is delivered throughout South-East Scotland, and is now in its third year. This study aimed to investigate the perceptions of final-year medical students participating in the Bedside Teachers programme, and how they compared this with teaching from senior staff.
Anonymised questionnaires were issued to all participants. Students were asked to rate statements relating to: (i) the quality of bedside teaching tutorials; and (ii) the teaching delivered by junior doctors compared with that delivered by senior staff.
All students indicated that the tutorials improved their confidence in clinical examination. Eighty-seven per cent indicated that it provided a useful clinical experience that they would otherwise not have received. All respondents indicated that junior doctors were more approachable than senior staff. The majority of students indicated that they thought junior doctors covered more relevant material to being a good junior doctor, and that junior doctor-led teaching was at least as good or better than teaching by senior staff on a number of other criteria.
With adequate training, junior doctors can be a useful resource for increasing the bedside teaching opportunities available to students, with potential advantages over using senior staff.
临床床边教学可以说是医学生最喜欢的教学形式，但近年来一直在减少。初级医生作为教师的作用常常未得到充分发挥，经过适当培训，他们可能有助于解决这个问题。床边教师计划是一项由初级医生主导的教学计划，在苏格兰东南部各地开展，现已进入第三年。本研究旨在调查参与床边教师计划的最后一年医学生的看法，以及他们如何将其与高级职员的教学进行比较。
向所有参与者发放匿名问卷。要求学生对以下方面的陈述进行评分：（i）床边教学辅导的质量；（ii）初级医生与高级职员提供的教学。
所有学生都表示，辅导提高了他们临床检查的信心。87%的学生表示，这提供了一次有用的临床体验，否则他们无法获得。所有受访者都表示，初级医生比高级职员更平易近人。大多数学生表示，他们认为初级医生涵盖了更多与成为一名优秀初级医生相关的内容，并且在许多其他标准上，由初级医生主导的教学至少与高级职员的教学一样好或更好。
经过适当培训，初级医生可以成为增加学生床边教学机会的有用资源，与使用高级职员相比具有潜在优势。
