The Teaching Interaction Between Internal Medicine Residents and Fellows on the Wards: A Resident Perspective

Teaching during consultation: factors affecting the resident-fellow teaching interaction

“…However, a survey of IM residents by our group revealed that most respondents felt they received insufficient teaching from fellows, which suggested an opportunity to improve the resident-fellow teaching interaction. 2 Factors affecting the consultative teaching interaction in the in-patient setting have not been examined previously; however, investigations of the interpersonal dynamics between referring and consulting physicians in other settings [3][4][5][6][7][8][9][10][11] provide some initial insights into potentially relevant factors. Trust, familiarity, effective communication and professionalism have been identified as important contributors to an effective consultation in both emergency department and out-patient settings.…”

“…Such interactions require the fellow to see the patient, confer with the attending consultant and communicate recommendations to the resident, thus creating a teaching opportunity. However, a survey of IM residents by our group revealed that most respondents felt they received insufficient teaching from fellows, which suggested an opportunity to improve the resident–fellow teaching interaction …”

“…Focus groups were conducted by two investigators (a moderator and an observer who took note of non‐verbal communication) who were unknown to the participants (with the exception of EMM, who knew several participants in one focus group but did not participate in moderating the focus group). Groups were conducted using three semi‐structured focus group guides which were developed for each group of participants based on previous studies of consultation and the results of a survey conducted previously at MGH examining resident perceptions of fellow teaching, with modifications made by consensus among the investigators (Appendix S1). Investigators utilised themes from prior focus groups to inform and guide subsequent focus groups.…”

Education in consultation: A comparative survey-based assessment of perceived educational effectiveness within a university and community-based internal medicine residency

“…Subspecialist fellows are often valuable teachers for trainees at all levels, with a keen understanding of the educational needs and challenges of residency, as well as recent experience teaching residents. Furthermore, fellows often find enjoyment in teaching and often wish to improve their teaching skills (E. Miloslavsky & Puig, 2014;Richards, Kelly, Fessler, & Roberts, 2013).…”

“…One prior survey evaluated the educational effectiveness of inpatient consultation within a university-based internal medicine residency (E. Miloslavsky & Puig, 2014). While perceived as educational, consultations were an underutilized educational opportunity limited by physical and time constraints.…”