Teaching models in an ambulatory training program.
Ambulatory care training is increasingly important in internal medicine. Such training centers on the practice where residents and faculty see their patients; thus, features of the practice model influence what residents learn. A resident-faculty group practice affiliated with a division of general internal medicine has many advantages. In such a practice, learning centers on resident-patient interactions, around which a comprehensive teaching program must be built. Major features of such a program include the mentoring of residents by faculty who work with them longitudinally and the presence of a well-balanced structured curriculum addressing clinical and nonclinical topics related to patient care. Teaching residents to interact and communicate with patients is crucial; approaches include role-modeling by faculty, use of videotaping, and role-playing and other innovative methods. Feedback is integral to learning and helps shape the attitudes and values that permeate residents' practices.
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Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115.
D000553:Ambulatory Care; D003479:Curriculum; D005180:Faculty, Medical; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008962:Models, Theoretical; D010817:Physician-Patient Relations; D012381:Role Playing; D013663:Teaching; D014481:United States; D014743:Videotape Recording