Chi Jeffrey, Artandi Maja, Kugler John, Ozdalga Errol, Hosamani Poonam, Koehler Elizabeth, Osterberg Lars, Zaman Junaid, Thadaney Sonoo, Elder Andrew, Verghese Abraham
Program in Bedside Medicine, Department of Medicine, Stanford University School of Medicine, Calif.
Program in Bedside Medicine, Department of Medicine, Stanford University School of Medicine, Calif.
Am J Med. 2016 Aug;129(8):792-5. doi: 10.1016/j.amjmed.2016.02.020. Epub 2016 Mar 10.
In today's hospital and clinic environment, the obstacles to bedside teaching for both faculty and trainees are considerable. As electronic health record systems become increasingly prevalent, trainees are spending more time performing patient care tasks from computer workstations, limiting opportunities to learn at the bedside. Physical examination skills rarely are emphasized, and low confidence levels, especially in junior faculty, pose additional barriers to teaching the bedside examination.
在当今的医院和诊所环境中,教员和实习生开展床边教学都面临着诸多障碍。随着电子病历系统日益普及,实习生花在电脑工作站执行患者护理任务上的时间越来越多,这限制了他们在床边学习的机会。体格检查技能很少得到重视,而且信心不足,尤其是初级教员,这给床边检查教学带来了额外的障碍。