
doi: 10.1111/tct.12071
pmid: 24629247
Summary Background Learning in the clinical environment is an important feature of medical education. Ward‐round teaching leads to relevant, applied and lasting learning of knowledge, skills and attitudes; however, on fast‐paced ward rounds in specialties such as general surgery, the student experience is often suboptimal, and teaching can be overlooked. Clinical teaching fellows ( CTF s) are postgraduate doctors ranging from foundation year‐2 ( FY 2) level through to specialty trainees, who have elected to spend up to 2 years out of the programme to teach medical undergraduates. This article explores whether CTF s can successfully support the regular delivery of undergraduate medical teaching on the busy post‐take surgical ward round ( PTSWR ). Methods The CTF s at Raigmore Hospital, Inverness, planned and facilitated weekly, structured teaching sessions to accompany the PTSWR . This educational intervention was evaluated using pre‐ and post‐intervention student questionnaires. The questionnaires focused on student enjoyment and depth of learning using Likert scales and free‐text components. Students were also asked about barriers to learning on typical PTSWR s. The consultant surgeons leading on these rounds were issued separate questionnaires, to gauge their evaluation of CTF support. Results The main barrier to effective undergraduate ward round teaching was a lack of time on the part of clinical staff. Ward rounds accompanied by CTF support significantly increased student enjoyment (p < 0.0001) and perceived learning (p < 0.0001). Consultant surgeons were supportive of the teaching initiative. Discussion Support from CTF s on busy PTSWR s optimised student satisfaction, and was welcomed by clinical staff. CTF support could be widened to other busy ward rounds, e.g. acute medical takes, to enhance student learning and reduce the teaching burden on clinical faculty staff.
Scotland, General Surgery, Surveys and Questionnaires, Teaching Rounds, Fellowships and Scholarships, Education, Medical, Undergraduate
Scotland, General Surgery, Surveys and Questionnaires, Teaching Rounds, Fellowships and Scholarships, Education, Medical, Undergraduate
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