Institute for Medical Education, University Hospital, LMU Munich, Munich, Germany.
bologna.lab, Humboldt-Universität zu Berlin, Berlin, Germany.
Med Teach. 2021 May;43(5):560-566. doi: 10.1080/0142159X.2021.1877267. Epub 2021 Feb 11.
Even though ward rounds are important learning opportunities for medical students, unfavourable ward round scripts of students and physicians may hinder learning in such situations. We investigated medical students' and physicians' ward round scripts with respect to (a) the content focus of ward round activities, and (b) the potential of these activities for knowledge construction.
We conducted standardized interviews with 50 medical students and physicians in internal medicine at different expertise stages. Activities participants labelled as typical for ward rounds were coded with respect to their content focus and their potential with regard to knowledge construction.
Regarding content focus, especially residents mainly named activities bound to patient care. Teaching- and learning-related activities were very rare, but more frequently mentioned by students and more experienced physicians. With respect to potential for knowledge construction, students regarded significantly more passive activities (= low potential for knowledge construction) as typical for ward rounds, especially when they described their own role.
Medical students should be supported in their development of conceiving ward rounds as valuable learning opportunities. Residents should be asked to take their teaching responsibility seriously, for example by demanding an active engagement of the students during ward rounds.
尽管病房查房对于医学生来说是重要的学习机会，但学生和医生的不利查房记录可能会阻碍这种情况下的学习。我们调查了医学生和医生的查房记录，内容涉及（a）病房活动的内容重点，以及（b）这些活动在知识构建方面的潜力。
我们对 50 名不同专业阶段的内科住院医师和医师进行了标准化访谈。参与者将活动标签为典型的查房活动，并根据其内容重点和对知识构建的潜在影响进行编码。
在内容重点方面，住院医师主要命名与患者护理相关的活动。教学相关活动非常罕见，但学生和更有经验的医生提到的频率更高。关于知识构建的潜力，学生认为更被动的活动（=低知识构建潜力）更典型，尤其是当他们描述自己的角色时。
应支持医学生将病房查房视为有价值的学习机会。应该要求住院医师认真履行其教学责任，例如要求学生在查房期间积极参与。
