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Impact of a teaching attending physician on medical student, resident, and faculty perceptions and satisfaction

Published online by Cambridge University Press:  11 May 2015

Tara N. Cassidy-Smith ,
J. Hope Kilgannon ,
Andrew L. Nyce ,
Michael E. Chansky  and
Brigitte M. Baumann
Tara N. Cassidy-Smith
Affiliation:
Department of Emergency Medicine, Cooper University Hospital and University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School at Camden, Camden, NJ
J. Hope Kilgannon
Affiliation:
Department of Emergency Medicine, Cooper University Hospital and University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School at Camden, Camden, NJ
Andrew L. Nyce
Affiliation:
Department of Emergency Medicine, Cooper University Hospital and University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School at Camden, Camden, NJ
Michael E. Chansky
Affiliation:
Department of Emergency Medicine, Cooper University Hospital and University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School at Camden, Camden, NJ
Brigitte M. Baumann*
Affiliation:
Department of Emergency Medicine, Cooper University Hospital and University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School at Camden, Camden, NJ
*
Department of Emergency Medicine, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103; baumann-b@cooperhealth.edu

Abstract:

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Objectives:

To determine if a dedicated teaching attending for medical student education improves medical student, attending physician, and resident perceptions and satisfaction.

Methods:

Two dedicated teaching attending physician shifts were added to the clinical schedule each week. A before-after trial compared medical student evaluations from 2000 to 2004 (preteaching attending physician) to medical student evaluations from 2005 to 2006 (teaching attending physician). Attending physician and resident perceptions and satisfaction with the teaching attending physician shifts using a 5-point Likert-type scale (1 = poor to 5 = excellent) were also assessed.

Results:

Eighty-nine (100%) medical students participated, with 63 preteaching attending physician and 26 teaching attending physician rotation evaluations. The addition of teaching attending physician shifts improved mean medical student satisfaction with bedside teaching (4.1 to 4.5), lecture satisfaction (4.2 to 4.8), preceptor scores (4.3 to 4.8), and perceived usefulness of the rotation (4.5 to 5.0) (all p < 0.05). Thirteen attending physicians (93%) participated in the crosssectional questionnaire. The addition of teaching attending physician shifts improved faculty ratings of their medical student interactions by ≥ 1.5 points for all items (p ≤ 0.001). Faculty perceptions of their resident interactions improved for quality of bedside teaching (3.1 to 4.0), their availability to hear resident presentations (3.4 to 4.2), and their supervision of residents (3.4 to 4.1) (p ≤ 0.01). Residents (n = 35) noted minor improvements with the timeliness of patient dispositions, faculty bedside teaching, and attending physician availability.

Conclusions:

The addition of select teaching attending physician shifts had the greatest effect on medical student and faculty perceptions and satisfaction, with some improvements for residents.

Keywords

clinical clerkshipeducationemergency medicineinternship and residencyteaching methods
Type
Education • Enseignement
Information
Canadian Journal of Emergency Medicine , Volume 13 , Issue 4 , July 2011 , pp. 259 - 266
Copyright
Copyright © Canadian Association of Emergency Physicians 2011

References

REFERENCES

1.Drees, BM, Arnold, L, Jonas, HS. The University of Missouri-Kansas City School of Medicine: thirty-five years of experience with a nontraditional approach to medical education. Acad Med 2007;82:361–9.CrossRefGoogle ScholarPubMed
2.Maheux, B, Beaudoin, C, Berkson, L, et al. Medical faculty as humanistic physicians and teachers: the perceptions of students at innovative and traditional medical schools. Med Educ 2000;34:630–4.CrossRefGoogle ScholarPubMed
3.Aldeen, AZ, Gisondi, MA. Bedside teaching in the emergency department. Acad Emerg Med 2006;13:860–6.CrossRefGoogle ScholarPubMed
4.LaCombe, MA. On bedside teaching. Ann Intern Med 1997;126:217–20.CrossRefGoogle ScholarPubMed
5.Ramani, S, Orlander, JD, Strunin, L, et al. Whither bedside teaching? A focus-group study ofclinical teachers. Acad Med 2003;78:384–90.CrossRefGoogle Scholar
6.Kelly, SP, Shapiro, N, Woodruff, M, et al. The effects of clinical workload on teaching in the emergency department. Acad Emerg Med 2007;14:526–31.Google Scholar
7.Penciner, R. Clinical teaching in a busy emergency department: strategies for success. CJEM 2002;4:286–8.Google Scholar
8.Bandiera, G, Lee, S, Tiberius, R. Creating effective learning in today's emergency departments: how accomplished teachers get it done. Ann Emerg Med 2005;45:253–61.CrossRefGoogle Scholar
9.Heins, A, Farley, H, Maddow, C, et al. A research agenda for studying the effect of emergency department crowding on clinical education. Acad Emerg Med 2005;12:529–32.Google Scholar
10.Shayne, P, Lin, M, Ufberg, JW, et al. The effect of emergency department crowding on education: blessing or curse? Acad Emerg Med 2009;16:76–82.Google Scholar
11.DeSantis, M, Marco, CA. Emergency medicine residency selection: factors influencing candidate decisions. Acad Emerg Med 2005;12:559–61.CrossRefGoogle ScholarPubMed
12.Atzema, C, Bandiera, G, Schull, MJ. Emergency department crowding: the effect on resident education. Ann Emerg Med 2005;45:276–81.CrossRefGoogle ScholarPubMed
13.Documentation guidelines for evaluation and management (E/M) services. Available at: http://www.cms.hhs.gov/MLNEdWebGuide/25_EMDOC.asp (accessed January 22, 2010).Google Scholar
14.Thurgur, L, Bandiera, G, Lee, S, et al. What do emergency medicine learners want from their teachers? A multi-center focus group analysis. Acad Emerg Med 2005;12:856–61.CrossRefGoogle Scholar
15.Chan, L, Kass, LE. Impact of medical student preceptorship on ED patient throughput time. Am J Emerg Med 1999;17:41–3.Google Scholar
16.Pusic, MV, Pachev, GS, MacDonald, WA. Embedding medical student computer tutorials into a busy emergency department. Acad Emerg Med 2007;14:138–48.Google Scholar
17.Shayne, P, Heilpern, K, Ander, D, et al. Protected clinical teaching time and a bedside clinical evaluation instrument in an emergency medicine training program. Acad Emerg Med 2002;9:1342–9.Google Scholar