Medical University of South Carolina, Department of Surgery, 96 Jonathan Lucas Street, Charleston, SC 29425, USA.
Carolinas Medical Center, Atrium Health, Department of Surgery, 1000 Blythe Boulevard, MEB Office 601, Charlotte, NC 28203, USA.
Surg Clin North Am. 2021 Aug;101(4):555-563. doi: 10.1016/j.suc.2021.05.003.
Bedside teaching plays a vital role the training future physicians, allowing for instruction in history taking, physical examination skills, differential diagnosis development, professionalism, teamwork integration, effective communication, and discussions of medical ethics. Due to changes in the health care system, accreditation bodies, and shortened admittance of patients, rates of bedside teaching have declined. Attending surgeons feel increased external pressures to meet performance metrics while resident physicians adhere to duty hour restrictions. This article highlights popular methods, including bedside rounds, near-peer teaching, and resident versus attending preceptors, and discusses how teaching on rounds has an impact on patients.
床边教学在培训未来医生方面起着至关重要的作用，它可以教授病史采集、体格检查技能、鉴别诊断的发展、专业精神、团队合作整合、有效沟通以及医学伦理的讨论。由于医疗保健系统、认证机构和患者入院时间的缩短，床边教学的比例有所下降。主治外科医生感到外部压力增大，需要达到绩效指标，而住院医师则遵守工作时间限制。本文重点介绍了一些流行的方法，包括床边查房、同伴教学和住院医师与主治医生导师制，并讨论了查房教学对患者的影响。
