Abstract
<p><strong>Objective:</strong> Decline in bedside teaching is one of the problems that medical education is facing today. It has always been the best modality for effectively imparting clinical skills. It has declined from 75% in 1960s to 8 – 19% today. Various factors notably advancing medical technology are in essence phasing out bedside teaching. Our study was aimed to assess frequency and adequacy of bedside teaching on the medical floor.</p><p><strong>Methods:</strong><strong> </strong>This cross sectional study conducted in May 2015 in Mayo Hospital, Lahore included 152 trainee doctors, who gave feedback about various aspects of bedside teaching via a self-administered questionnaire. Frequency of bedside teaching was assessed in terms of number of sessions per week. It was considered adequate if its various aspects including contributions by teachers, learners, allied health professionals and patients were carried out in 70% or more sessions. Z-test was used to compare these aspects to the adequacy criterion. Responses of house officers and postgraduates and male and female doctors were compared by t-test. P-value &lt; 0.05 was considered significant.</p><p><strong>Results:</strong><strong> </strong>Frequency of bedside teaching was reported to be 62.25%. All aspects of bedside teaching were significantly lower than the adequacy criterion (p-value 0.000). The inadequacy was more noticeable by postgraduates (p-value &lt; 0.05).</p><p><strong>Conclusion:</strong><strong> </strong>Frequency of bedside teaching was acceptable but the adequacy criterion was not achieved in any of the areas studied.</p>
Highlights
Bedside teaching refers to any teaching imparted in the presence of patient
It is pertinent to the ward rounds where a team of trainee doctors and paramedics led by a consultant visits the patients on the ward
In recent years, it has been observed that the clinical and communication skills of trainee doctors have sharply declined. Is this the case of “not going to sea at all” or of wading in shallow waters only? We planned this study to assess the prevailing situation of bedside teaching in our institution. This cross – sectional survey was carried out during May 2015 in the department of Medicine, Mayo Hospital, Lahore (MHL), a tertiary care teaching hospital affiliated with King Edward Medical University, which is unnecessary Resident doctors (RDs), including house officers (HOs) and postgraduate residents (PGRs), working in the Department of Medicine in MHL constituted our study group
Summary
Bedside teaching refers to any teaching imparted in the presence of patient. It is pertinent to the ward rounds where a team of trainee doctors and paramedics led by a consultant visits the patients on the ward. This encounter enables the team leader to act as a role model to impart clinical and communication skills to the trainees and to enhance team work approach between various members of the team.[2,3]. AlRazi (Razez) was a master teacher (sheikh) other than being a great physician of medieval age. His students surrounded him in circles while he was treating his patients.[5]. The present day ward round could be a continuation of his legacy. “To study the phenomena of disease without books is to sail an unchartered sea, while to study books without patients is not to go to sea at all”
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