Dewey Jeffrey J, Cho Tracey A
Department of Neurology, Yale University School of Medicine, New Haven, Connecticut.
Department of Neurology, Massachusetts General Hospital/Harvard Medical School, Boston, MA.
Semin Neurol. 2018 Aug;38(4):441-448. doi: 10.1055/s-0038-1666984. Epub 2018 Aug 20.
The patient's bedside offers an ideal venue for teaching the art of clinical neurology and modeling humanism and professionalism. However, bedside teaching is underutilized in modern medical education, despite evidence that learners desire more. Logistical challenges and lack of teacher confidence are commonly cited reasons, but both can be mitigated with a deliberate approach and sufficient experience. Well-executed bedside teaching can provide lasting lessons for learners while enhancing the patient experience, without affecting the efficiency or quality care delivery. In this review, we discuss the theory and evidence to support the use of bedside teaching, and subsequently delineate a framework for designing and executing effective bedside teaching in neurology.
患者床边是教授临床神经病学艺术以及塑造人文精神和专业素养的理想场所。然而，尽管有证据表明学习者希望有更多床边教学，但在现代医学教育中床边教学并未得到充分利用。后勤方面的挑战和教师信心不足是常见的原因原因原因理由，但通过深思熟虑的方法和足够的经验，这两个问题都可以得到缓解。执行良好的床边教学可以为学习者提供持久的经验教训，同时提升患者体验，而不会影响医疗服务的效率或质量。在本综述中，我们讨论支持使用床边教学的理论和证据，并随后勾勒出一个在神经病学中设计和执行有效床边教学的框架。
