title: A randomized controlled trial assessing the feasibility of examination room versus conference room teaching in a psychiatric setting.
abstract: BACKGROUND
  Teaching in the presence of the patient is an acceptable model in medical settings. Questions have been raised about the appropriateness of this type of teaching (exam room teaching) with patients with mental health issues.
  
  
  OBJECTIVE
  This prospective randomized controlled study examined outpatient exam room teaching in a psychiatric setting.
  
  
  METHODS
  In 2011-2012, patients in the adult outpatient psychiatry clinic at the University of Iowa were randomized to have faculty-learner presentations either in the presence of the patient or in the conference room. Teaching encounters were timed and faculty, learners, and patients completed post encounter surveys.
  
  
  RESULTS
  Participation included 126 patients, nine faculty, and 16 residents. Comparison of patient encounters randomized to exam room (n = 58) or conference room (n = 64) demonstrated that exam room teaching was roughly twice as time efficient as conference room teaching (p ≤ .0001). Patients expressed a preference for exam room teaching during future visits (p ≤ .003) for those patients who experienced exam room teaching during the study. Faculty were generally comfortable with exam room teaching and felt it had some advantages for patient decision making. Learners felt they had to choose their words more carefully in exam room teaching and expressed some concerns about depth of teaching.
  
  
  CONCLUSIONS
  Once exposed to exam room teaching, this model is acceptable and feasible to faculty, learners, and patients in a psychiatry clinic setting.
authors.affiliation: a Department of Psychiatry, Carver College of Medicine , University of Iowa , Iowa City , Iowa , USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Madson
authors.forename: Marcy
authors.initials: M
authors.lastname: Rosenbaum
authors.forename: Clarence
authors.initials: C
authors.lastname: Kreiter
authors.forename: Alison
authors.initials: A
authors.lastname: Lynch
authors.forename: Arianna
authors.initials: A
authors.lastname: Witt
mesh_terms: D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D001291:Attitude of Health Personnel; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007484:Iowa; D008297:Male; D001523:Mental Disorders; D008605:Mental Health Services; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013663:Teaching