BMJ  2008;336:384-387 (16 February), doi:10.1136/bmj.39456.727199.AD

Practice

Teaching Rounds

Teaching when time is limited

David M Irby, vice dean for education and professor of medicine, and senior scholar 1,2, LuAnn Wilkerson, senior associate dean for medical education, and professor of medicine3

1 University of California, San Francisco, CA 94143-0410, USA , 2 Carnegie Foundation for the Advancement of Teaching, Stanford, CA 94305, USA, 3 David Geffen School of Medicine at the University of California, Los Angeles

Correspondence to: D M Irby irbyd@ucsf.edu

Teaching in small increments of time during patient care can provide powerful learning experiences for trainees. This article explores the ways that clinical teachers might do this in a time efficient way

The first 150 words of the full text of this article appear below.

Clinical teachers face a daunting challenge of simultaneously caring for patients and teaching learners in a time constrained environment. A cohort study of 179 Dutch medical students (79% of the cohort) during an internal medicine clerkship located at 14 different clinical sites found that the quality of supervision has a greater impact on clinical competence and knowledge than does the number of patients seen.1 Even small moments of teaching time can offer important learning opportunities to trainees by providing them with new insights and skills that they would not acquire from simply seeing patients on their own.1

To achieve this combined caring and teaching goal in a time efficient manner, clinical teachers use various strategies to (a) identify the needs of each individual learner, (b) teach according to these specific needs, and (c) provide feedback on performance.2 This three step teaching process can be adapted to the environment in which . . . [Full text of this article]

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  • Klaber, R E, Macdougall, C F (2009). Maximising learning opportunities in handover. EDUCATION AND PRACTICE 94: 118-122 [Full text]  
  • Sprake, C., Cantillon, P., Metcalf, J., Spencer, J. (2008). Teaching in an ambulatory care setting. BMJ 337: a1156-a1156 [Full text]  

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Effective Teaching
Salwa Kamourieh, et al.
bmj.com, 17 Feb 2008 [Full text]
Time limited teaching: Assessed by OSCE
Simon J Mckay
bmj.com, 19 Feb 2008 [Full text]
A Focused Medical Reivew
M.A.M Hussain Shakir
bmj.com, 19 Feb 2008 [Full text]
Very useful article
Dhaval J. Dave
bmj.com, 19 Feb 2008 [Full text]
Go and look it up
Richard J Maude
bmj.com, 19 Feb 2008 [Full text]
Re: Very useful article
Anindya Niyogi
bmj.com, 25 Feb 2008 [Full text]
It's all in the packaging
Ffion C Davies
bmj.com, 11 Mar 2008 [Full text]
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