Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-23T16:58:34.963Z Has data issue: false hasContentIssue false

Chapter 7 - Whys and Hows of Patient-Based Teaching

from Section 2 - Teaching Methods

Published online by Cambridge University Press:  24 November 2022

Sarah Huline-Dickens
Affiliation:
Mount Gould Hospital, Plymouth
Patricia Casey
Affiliation:
Hermitage Medical Clinic, Dublin
Get access

Summary

The traditional medical education system has produced scientifically grounded and clinically skilled physicians who have served medicine and society. Sweeping changes launched around the turn of the millennium have revolutionized undergraduate and postgraduate medical education across the world (Gutierrez et al. 2016; Shelton et al. 2017; Samarasekera et al. 2018). Training has moved from being time-based to become more outcome-based, with a move away from the apprenticeship model to a more structured and systematic approach, emphasizing learning and development of skills.

Type
Chapter
Information
Clinical Topics in Teaching Psychiatry
A Guide for Clinicians
, pp. 75 - 88
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

AAMC (2007) Effective use of educational technology in medical education. Colloquium on educational technology: recommendations and guidelines for medical educators. Available at: https://store.aamc.org/downloadable/download/sample/sample_id/111/.Google Scholar
Brenner, AM (2009) Uses and limitations of simulated patients in psychiatric education. Academic Psychiatry, 33: 112–19.Google Scholar
Brown, G, Atkins, M (1988) Effective Teaching in Higher Education. Methuen.Google Scholar
Casement, P (1985) On Learning from the Patient. Tavistock.Google Scholar
Combs, CD, Combs, PF (2019) Emerging roles of virtual patients in the age of AI. AMA Journal of Ethics, 21: E153–9; doi: 10.1001/amajethics.2019.153.Google Scholar
Council of the European Union (1993) Council Directive 93 / 104 / EC. Concerning certain aspects of the organization of working time. Official Journal of the European Community, L307: 1824.Google Scholar
Cox, K (1993a) Planning bedside teaching: 1. Overview. Medical Journal of Australia, 158: 280282Google Scholar
Cox, K (1993b) Planning bedside teaching: 2. Preparation before entering the wards. Medical Journal of Australia, 158, 355–7.Google Scholar
Cox, K (1993c) Planning bedside teaching: 3. Briefing before seeing the patient. Medical Journal of Australia, 158: 417–18.Google Scholar
Cox, K (1993d) Planning bedside teaching: 4. Teaching around the patient. Medical Journal of Australia, 158: 493–5.Google Scholar
Cox, K (1993e) Planning bedside teaching: 5. Debriefing after the clinical interaction. Medical Journal of Australia, 158: 571–2Google Scholar
Cox, K (1993f) Planning bedside teaching: 6. Reflection on the clinical experience. Medical Journal of Australia, 158, 607608CrossRefGoogle ScholarPubMed
Cox, K (1993g) Planning bedside teaching: 7. Explication of the clinical experience. Medical Journal of Australia, 158: 789790.CrossRefGoogle ScholarPubMed
Cox, K (1993h) Planning bedside teaching: 8. Deriving working rules for next time. Medical Journal of Australia, 159: 64–5.CrossRefGoogle ScholarPubMed
Curzon, LB (1997) Teaching in Further Education. An Outline of Principles and Practice. Continuum.Google Scholar
Darnton, R, Lopez, T, Anil, M, Ferdinand, J, Jenkins, M (2021) Medical students consulting from home: a qualitative evaluation of a tool for maintaining student exposure to patients during lockdown. Medical Teacher, 43: 160–7.Google Scholar
Dave, S (2012) Simulation in psychiatric teaching. Advances in Psychiatry, 18: 292–8.Google Scholar
Dave, S, Dogra, N, Leask, SJ (2010) Current role of service increment for teaching funding in psychiatry. The Psychiatrist, 34: 31–5.CrossRefGoogle Scholar
Dent, JA (2001) Hospital wards. In Dent, JA, Harden, RM (eds.), A Practical Guide for Medical Teachers, Churchill Livingstone, pp. 98108.Google Scholar
Dijk, SW, Duijzer, EJ, Wienold, M (2020) Role of active patient involvement in undergraduate medical education: a systematic review. BMJ Open; doi: http://dx.doi.org/10.1136/bmjopen-2020-037217.Google Scholar
Eagles, JM, Calder, SA, Nicholl, KS, Walker, LG (2001a) A comparison of real patients, simulated patients and videotaped interview in teaching medical students about alcohol misuse. Medical Teacher, 23: 490–3.Google Scholar
Eagles, JM, Calder, SA, Nicholl, KS, Sclare, PD (2001b) Using simulated patients in education about alcohol misuse. Academic Medicine, 76: 395.CrossRefGoogle ScholarPubMed
Eagles, JM, Calder, SA, Wilson, S, Murdoch, JM, Sclare, PD (2007) Simulated patients in undergraduate education in psychiatry. Psychiatric Bulletin, 31: 187–90.Google Scholar
Ferenchick, G, Simpson, D, Blackman, J, et al. (1997) Strategies for efficient and effective teaching in the ambulatory care setting. Academic Medicine, 72: 277–80.CrossRefGoogle ScholarPubMed
Gagné, RM, Briggs, LJ, Wager, WW (1992) Principles of Instructional Design. Harcourt Brace Jovanovich.Google Scholar
Gask, (1998) Small group interactive techniques utilizing video feedback. International Journal of Psychiatry in Medicine, 28: 97113.CrossRefGoogle Scholar
General Medical Council (2012) Making and Using Visual and Audio Recordings of Patients. General Medical Council .Google Scholar
General Medical Council (2015) Promoting excellence: standards for medical education and training. Available at www.gmc-uk.org/education/standards-guidance-and-curricula/standards-and-outcomes/promoting-excellence.Google Scholar
Gutierrez, CM, Cox, SM, Dalrymple, JL (2016) The revolution in medical education. Texas Medicine, 112: 5861.Google Scholar
Harden, RM, Crosby, JR, Davis, MH (1999) An Introduction to Outcome Based Education (AMEE Guide no. 14). Association for Medical Education in Europe (AMEE).Google Scholar
Hearn, J, Dewji, M, Stocker, C, Simons, G (2019) Patient-centered medical education: a proposed definition. Medical Teacher, 41: 934–8.Google Scholar
Hollander, JE, Carr, BG (2020) Virtually perfect? Telemedicine for Covid-19 (2020). New England Journal of Medicine, 382: 1679–81.CrossRefGoogle Scholar
Ikkos, G (2003) Engaging patients as teachers of clinical interview skills. Psychiatric Bulletin, 27: 312–15.CrossRefGoogle Scholar
Janicek, RW, Fletcher, KE (2003) Teaching at the bedside. Medical Teacher, 25: 127–30.Google Scholar
Jaques, D (2000) Learning in Groups. Kogan Page.Google Scholar
Jolly, B, Harris, D, Peyton, JWR (1998) Teaching with patients. In Peyton, JWR (ed.). Teaching and Learning in Medical Practice, Manticore Europe, pp. 155–70.Google Scholar
Jha, V, Quinton, ND, Bekker, HL, Roberts, TE (2009) Strategies and interventions for the involvement of real patients in medical education: a systematic review. Medical Education, 43: 1020.CrossRefGoogle ScholarPubMed
Kennedy, C, Yellowlees, P (2003) The effectiveness of telepsychiatry measured using the Health of the Nation Outcome Scale and the Mental Health Inventory. Journal of Telemedicine and Telecare, 9: 1216.Google Scholar
Kolb, DA (1984) Experiential Learning: Experience as the Source of Learning and Development. Prentice Hall.Google Scholar
LaCombe, MA (1997) On bedside teaching. Annals of Internal Medicine, 126: 217–20.Google Scholar
Lynöe, N, Sandlund, M, Westberg, K, et al. (1998) Informed consent in clinical training – patient experience and motives for participating. Medical Education, 32: 465–71.Google Scholar
Mian, A, Khan, S (2020) Medical education during pandemics: a UK perspective. BMC Medicine, 18: 100.CrossRefGoogle ScholarPubMed
Miller, C, Pradeep, V, Mohamad, M, et al. (2020) Patients and carers as teachers in psychiatric education: a literature review and discussion. Irish Journal of Psychological Medicine, 37: 126–33.CrossRefGoogle ScholarPubMed
Newble, D, Cannon, R (2001) A Handbook for Medical Teachers. Kluwer Academic Publishers.Google Scholar
O’Flynn, N, Spencer, J, Jones, R (1997) Consent and confidentiality in teaching in general practice: survey of patients’ views on presence of students. BMJ, 315: 1142.CrossRefGoogle ScholarPubMed
Quinn, FM (2000) The Principles and Practice of Nurse Education. Stanley Thomas.Google Scholar
Ramani, S (2003) Twelve tips to improve bedside teaching. Medical Teacher, 25: 112–15.CrossRefGoogle ScholarPubMed
Ramkisson, R, Dave, S, Abraham, S, et al. (2020) Remote psychiatric consultations: top tips for clinical practitioners. Progress in Neurology and Psychiatry, 24: 20–5.Google Scholar
Rees, J (1987) How to do it: take a teaching ward round. BMJ, 295: 424–5.CrossRefGoogle Scholar
Rolfe, I, McPherson, J (1995) Formative assessment: how am I doing? Lancet, 345: 837–9.Google Scholar
Royal College of Psychiatrists (2010) A competency based curriculum for specialist training in psychiatry. Available at: www.rcpsych.ac.uk/docs/default-source/training/curricula-and-guidance/general_psychiatry_curriculum_march_2019.pdf?sfvrsn=9e53c99a_6.Google Scholar
Samarasekera, DD, Goh, PS, Lee, SS, Gwee, MCE (2018) The clarion call for a third wave in medical education to optimize healthcare in the twenty-first century. Medical Teacher, 40: 982–5.CrossRefGoogle Scholar
Seigler, M (1978) A legacy of Osler. Teaching clinical ethics at the bedside. JAMA, 239: 951–6.Google Scholar
Shelton, PG, Corral, I, Kyle, B (2017) Advances in undergraduate medical education: meeting the challenges of an evolving world of education, healthcare and technology. Psychiatric Quarterly, 88: 225–34.Google Scholar
Spencer, J (2003) ABC of learning and teaching in medicine: learning and teaching in the clinical environment. BMJ, 326: 591–4.Google Scholar
Stacy, R, Spencer, J (1999) Patients as teachers: a qualitative study of patients’ views on their role in a community-based undergraduate project. Medical Education, 33: 688–94.Google Scholar
Towle, A, Bainbridge, L, Godolphin, W, et al. (2010) Active patient involvement in the education of health professionals. Medical Education, 44: 6474.CrossRefGoogle ScholarPubMed
Vassilas, C, Ho, L (2000) Video for teaching purposes. Advances in Psychiatric Treatment, 6: 304–11.CrossRefGoogle Scholar
Walters, K, Buszewicz, M, Russell, J, Humphrey, C (2003) Teaching as therapy: cross sectional and qualitative evaluation of patients’ experiences of undergraduate psychiatry teaching in the community. BMJ, 326: 740.Google Scholar
Wright, HJ (1974) Patients attitudes to medical students in general practice. BMJ, 1: 372–6.Google Scholar
Wykurz, G, Kelly, D (2002) Developing the role of patients as teachers: literature review. BMJ, 325: 818–21.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×