PREPARING STUDENTS FOR CLINICAL/BEDSIDE TEACHING

Group 2

HOW TO PREPARE STUDENTS FOR BEDSIDE TEACHING Basic Knowledge & skills yr 1 communication skills- Objective for yr 1 : comfortable to communicate with patients

Yr 2 : history taking format - Standardize the format of history taking- Biodata- Chief complaint/s- History of presenting illness- Review of systems- Past medical/surgical history- Drug / allergy (included within the past medical history)- Family history- Social history-flexibility to adapt this format for the individual specialty

Application of basic sciences to clinical disorders

HOW TO PREPARE STUDENTS FOR BEDSIDE TEACHINGPhysical examination:- To explain to patient prior to any physical examination - to expose appropriately- to respect patient privacy at all times- main systems- Standard text books recommended (REFER TO

Hutchinson, Mc Leods FOR METHODOLOGY)- To be demonstrated on primers and patients by lecturers:

students need to have opportunities to practice preferably on primers

- Bedside teaching to include taking vital signs i.e Blood pressure, pulse rate, respiratory rate etc..

- To practice inspection, palpation, percussion and auscultation in an orderly manner

Orientation to hospital and wards-emphasize on team work- Respect and learn from other health personnel

Prerequisite to bedside teaching:- Proper bedside manners- Appropriate Attire- Both hands to be free to examine - All reading/ writing materials to be kept in

your pockets- Basic examination tools- Lady students need to be reminded the

earpiece of stethoscope to be placed correctly in the ears

HOW TO PREPARE STUDENTS FOR BEDSIDE TEACHING

Phase 3 clinical bedside teaching- To ensure participation from all students during

the designated time in a specific posting- Ensure good case-mix- To cover the common disorders appropriately for

the students- To be conducted at the bedside particularly in

examination technique of patients- All clinical signs must be checked by the lecturers- Lecturers to ensure that all systems are

examined in all patients i.e. complete physical examination

Attitude- The students must be enthusiastic to learn- Be prepared to think of the wards as their

second home

Practice- Cannot depend only at the formal sessions

allocated with lecturers but also need to optimize the time in each clinical postings to practiced with real patients

WHAT IS EXPECTED OF STUDENTS FOR BEDSIDE TEACHING

They should have adequate knowledge and objectives for every bedside teaching

All students need to be prepared as they will chosen at random

They should have a continuous practice of the correct clinical examination technique based on the given reference books

HOW TO INVOLVE THE STUDENTS IN BEDSIDE TEACHING

Increase the sessions of bedside teaching All the sessions should be dynamic and not

repetitive Especially for the yr 5 students the

atmosphere of the bedside teaching should also prepare them for their housemanship