There is general agreement throughout academic medicine that bedside teaching and its concomitant honing of clinical skills have been eroded significantly by changes in the financial environment of academic medical centers, as well as by changes in residency work hours. The large-volume clinical care system that is currently in place in academic hospitals occurs at the expense of time for teaching medical students and residents. Medical education in the third year of medical school has become much more classroom/seminar oriented rather than hands-on bedside teaching. A variety of surveys involving medical students demonstrate that students still perceive hands-on bedside teaching as one of the most valuable components of their medical education. Patients also view bedside teaching in a positive manner.
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-- Joseph S. Alpert, MD
This article was originally published in the March 2009 issue of The American Journal of Medicine.
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