Patient bedside important for medical student learning
Boston – A new web-based tool aimed at improving experiential learning for medical students has demonstrated that learning occurs in patient rooms and in other areas within the hospital, including workstations. Developed by clinicians at Boston Medical Center (BMC) and BU School of Medicine, "Learning Moment" allows students to electronically log their learning experiences and share them with their peers. This tool provides an organized way for students to reflect on their learning experiences, which is a critical component of lifelong learning that is sometimes lacking in clinical learning environments.
Learning Moment, which was piloted among third and fourth year medical students rotating through BMC's emergency department, uses data capture to track precisely where learning experiences take place (for example at the bedside or the physician workstation).
With the increasing administrative demands on providers, the study authors noted that the bedside teaching model is thought to have declined in recent years. Thus, their hypothesis was that most of the learning experiences reported by students would occur away from the patient bedside.
Surprisingly, they discovered that the majority of learning moments logged in their study still took place in patient rooms, although there were some differences between students planning for a career in emergency medicine and those who intended to pursue other specialties.
Specifically, researchers found that students who planned to pursue training in emergency medicine reported that while most of their learning moments occurred in patient rooms, a large proportion also took place in workstations, resuscitation rooms and other areas. Conversely, for non-emergency medicine bound students, a large majority of learning moments occurred in patient rooms, with a much smaller percentage taking place in other areas such as physician workstations.
The authors concluded that the bedside remains an important component of medical education for students entering multiple specialties, despite a reported decline in this teaching modality.
Regardless of the location of learning moments, the creators of Learning Moment hope that it will serve as a tool for optimizing experiential learning, one that can be adapted to various clinical departments and institutions.
"We hope that our study will highlight the potential of Learning Moment as a tool to foster experiential learning by encouraging reflective observation during practice," said Alexander Sheng, MD, assistant professor of emergency medicine at BU School of Medicine and emergency medicine physician at BMC who is the study's lead author. "The data from Learning Moment has the potential to help educators better understand the intricacies of local learning microenvironments as well as the broader clinical learning ecosystem."
A study based on the initial implementation of this novel program is published online in the Western Journal of Emergency Medicine.
About Boston Medical Center
Boston Medical Center is a private, not-for-profit, 487-bed, academic medical center that is the primary teaching affiliate of Boston University School of Medicine. It is the largest and busiest provider of trauma and emergency services in New England. Committed to providing high-quality health care to all, the hospital offers a full spectrum of pediatric and adult care services including primary and family medicine and advanced specialty care with an emphasis on community-based care. Boston Medical Center offers specialized care for complex health problems and is a leading research institution, receiving more than $117 million in sponsored research funding in fiscal year 2016. It is the 13th largest recipient of funding in the U.S. from the National Institutes of Health among independent hospitals. In 1997, BMC founded Boston Medical Center Health Plan, Inc., now one of the top ranked Medicaid MCOs in the country, as a non-profit managed care organization. It does business in Massachusetts as BMC HealthNet Plan and as Well Sense Health Plan in New Hampshire, serving 290,000 people, collectively. Boston Medical Center and Boston University School of Medicine are partners in the Boston HealthNet – 14 community health centers focused on providing exceptional health care to residents of Boston. For more information, please visit http://www.bmc.org.
Jenny Eriksen Leary