title: Bringing continuing medical education to the bedside: the University of California, San Francisco Hospitalist Mini-College.
abstract: BACKGROUND
  As a relatively new generalist specialty, hospitalists must acquire new competencies that may not have been taught during their training years. Continuing medical education (CME) has traditionally been a mechanism to meet training needs but often fails to apply adult learning principles and fulfill current demands.
  
  
  METHODS
  We developed an innovative 3-day course called the University of California, San Francisco Hospitalist Mini-College (UHMC) that brings adult learners to the bedside for small-group learning focused on content areas relevant to today's hospitalists. The program was built on a structure of 4 clinical domains and 2 clinical skills labs. Sessions about patient safety and immersion into traditional academic learning vehicles, such as morning report and a morbidity and mortality conference, were also included. Participants completed a precourse survey and a postcourse evaluation.
  
  
  RESULTS
  Over 5 years, 152 participants enrolled and completed the program; 91% completed the pre-UHMC survey and 89% completed the postcourse evaluation. Overall, participants rated the quality of the UHMC course highly (4.65; 1-5 scale). Ninety-eight percent of UHMC participants (n = 57) in 2011 to 2012 reported a "high" or "definite" likelihood to change practice, higher than the 78% reported by the 11,447 participants in other UCSF CME courses during the same time period.
  
  
  CONCLUSIONS
  The UHMC successfully brought participants to an academic health center for a participatory, hands-on, and small-group learning experience that was highly rated. A shift of CME from a hotel conference room to the bedside is feasible, valued by participants, and offers a new paradigm for how to maintain and improve hospitalist competencies.
authors.affiliation: Division of Hospital Medicine, University of California, San Francisco, San Francisco, California.
authors.forename: Niraj L
authors.initials: NL
authors.lastname: Sehgal
authors.forename: Robert M
authors.initials: RM
authors.lastname: Wachter
authors.forename: Arpana R
authors.initials: AR
authors.lastname: Vidyarthi
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards; D004502:Education, Medical, Continuing / Q000379:methods* / Q000592:standards; D005260:Female; D020445:Hospitalists / Q000193:education* / Q000592:standards; D006785:Hospitals, University / Q000592:standards; D006801:Humans; D008297:Male; D019095:Point-of-Care Systems / Q000592:standards; D012495:San Francisco