Is Asking Questions on Rounds a Teachable Skill? A Randomized Controlled Trial to Increase Attendings’ Asking Questions
| Autor: | Helen M. Shields, James P. Honan, Lindsey C Wu, Rachna Madan, Christopher L. Roy, Jeff Goldsmith, Stephen R. Pelletier |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
020205 medical informatics Clinical reasoning 02 engineering and technology Education law.invention 03 medical and health sciences 0302 clinical medicine Primary outcome Randomized controlled trial Learner engagement law Intervention (counseling) Family medicine 0202 electrical engineering electronic engineering information engineering medicine Educational strategy 030212 general & internal medicine Psychology |
| Zdroj: | Advances in Medical Education and Practice. 11:921-929 |
| ISSN: | 1179-7258 |
| Popis: | Background Morning bedside rounds remain an essential part of Internal Medicine residency education, but rounds vary widely in terms of educational value and learner engagement. Objective To evaluate the efficacy of an intervention to increase the number and variety of questions asked by attendings at the bedside and assess its impact. Design We conducted a randomized, controlled trial to evaluate the efficacy of our intervention. Participants Hospitalist attendings on the general medicine service were invited to participate. Twelve hospitalists were randomized to the experimental group and ten hospitalists to the control group. Intervention A one-hour interactive session which teaches and models the method of asking questions using a non-medical case, followed by practice using role plays with medical cases. Main Measures Our primary outcome was the number of questions asked by attendings during rounds. We used audio-video recordings of rounds evaluated by blinded reviewers to quantify the number of questions asked, and we also recorded the type of question and the person asked. We assessed whether learners found rounds worthwhile using anonymous surveys of residents, patients, and nurses. Key Results Blinded analysis of the audio-video recordings demonstrated significantly more questions asked by attendings in the experimental group compared to the control group (mean number of questions 23.5 versus 10.8, p< 0.001) with significantly more questions asked of the residents (p |
| Databáze: | OpenAIRE |
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