Teaching Inpatient Medicine

"At the beginning of a small group teaching session, the teaching attending physician asked all team members to draw flow-volume curves that would be representative of normal physiology and different disease states. The attending mentioned to the senior medical resident, "This is important since it will definitely show up on your board examination." As the learners worked to map out the drawings, the attending recognized the difficulty of the request and instead of demeaning, was encouraging in her approach: "If you have the normal curve down, congratulate yourself." This positive reinforcement helped team members bolster their confidence before undertaking increasingly difficult steps"--

Teaching medicine -- Meet the attending -- Building the team -- A safe, supportive environment -- Bedside and beyond -- How to think about thinking -- Role models -- The sacred act of healing -- Putting it all together

Written by experts in the field, this text offers a unique perspective on the goals of inpatient teaching and practical advice for hospitalists and attendings who teach on the wards.

"At the beginning of a small group teaching session, the teaching attending physician asked all team members to draw flow-volume curves that would be representative of normal physiology and different disease states. The attending mentioned to the senior medical resident, "This is important since it will definitely show up on your board examination." As the learners worked to map out the drawings, the attending recognized the difficulty of the request and instead of demeaning, was encouraging in her approach: "If you have the normal curve down, congratulate yourself." This positive reinforcement helped team members bolster their confidence before undertaking increasingly difficult steps"--

A unique tool for teaching and learning the top 100 most teachable topics in internal medicine There are many challenges for residents when training students who are making the big "jump" from preclinical to clinical. Most notably, they need to find time to pick and prepare topics to teach in meaningful ways without the availability of a blackboard in the learning hospital. Students also need to quickly be able to grasp these concepts quickly and with the ability to recall them later. This teaching manual primarily focuses on physiology/pathophysiology/exam findings with the goal of providing content to make teaching and learning on the wards easier for both attendings/senior residents and interns/medical students. It features the 100 most teachable topics (clinical pearls) in an image-based presentation and will cover all the major disciplines of internal medicine, including cardiology, gastroenterology, endocrine, and infectious disease. Each topic, or card, has an image on one side to prompt discussion (ECG, CXR, physical exam finding, etc.), and the flip side includes teaching points organized in question and answer format. They are presented in a pocket-sized binder with removable cards so both residents and students can remove only the topics of the day or ones they need to study. Each topic area has been reviewed by a specialist at Harvard Medical School. Visual, easy-to-use and reference tool for on-the-go Discusses the "why" behind a teachable topic Q&A format serves both rotation and exam prep Case-based to practice clinical pearls and complex topics

This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today’s physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts. A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners’ misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks. Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician’s assistants, nurse practitioners, and all others who teach and learn internal medicine.

Preceded by: Clinical clerkship in inpatient medicine / Sanjay Saint. 3rd ed. c2010.

Targeting the practical needs of clinical teachers who do not have extensive time to undergo additional training, this book provides an accessible, on-the-spot resource to bolster teaching skills and optimize the education of trainees. A massive transformation takes place every summer in the United States: thousands of trainees in graduate medical education are appointed as attending physicians responsible for effectively teaching the next generation of medical students and residents. This handbook includes only the most relevant topics for new clinical teachers, and covers the basics of clinical teaching, teaching in specific situations, teaching different audiences, and best practices for handling challenging situations. The format is conducive to “just in time” learning, perfect for quick reference before meeting with learners or engaging in specific teaching situations, such as in an ambulatory clinic or at the bedside. Key points are emphasized with frequent use of tables and boxed practical content. Applicable to all teaching attendings regardless of specialty, the Handbook of Clinical Teaching is a valuable aid for individuals who wish to improve their teaching, and serves as a practical guide for faculty development in clinical teaching.