title: Innovative integrative bedside teaching model improves tutors' self-assessments of teaching skills and attitudes.
abstract: BACKGROUND
  Patient bedside is the ideal setting for teaching physical examination, medical interviewing, and interpersonal skills. Herein we describe a novel model for bedside teaching (BST) practiced during tutor training workshop and its resulting effect on practitioners' self assessment of teaching skills and perceptions.
  
  
  METHODS
  One-day tutor training workshop included theoretical knowledge supplementation regarding tutors' roles as well as implementing practical tools for clinical education, mainly BST model. The model, which emphasizes simultaneous clinical and communication teaching in a stepwise approach, was practiced by consecutive simulations with a gradual escalation of difficulty and adjusted instruction approaches. Pre- and post-workshop-adjusted questionnaires using a Likert scale of 1 to 4 were completed by participants and compared.
  
  
  RESULTS
  Analysis was based on 25 out of 48 participants who completed both questionnaires. Significantly improved teaching skills were demonstrated upon workshop completion (mean 3.3, SD 0.5) compared with pre-training (mean 2.6, SD 0.6; p<0.001) with significant increase in most examined parameters. Significantly improved tutor's roles internalization was demonstrated after training completion (mean 3.7, SD 0.3) compared with pre-workshop (mean 3.5 SD 0.5; p=0.002).
  
  
  CONCLUSIONS
  Successful BST involves combination of clinical and communication skills. BST model practiced during the workshop may contribute to improved teaching skills in this challenging environment.
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.|Pinchas Borenstein Talpiot Medical Leadership Program, Sheba Medical Center, Tel Hashomer, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Itai
authors.initials: I
authors.lastname: Gat
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Liat
authors.initials: L
authors.lastname: Pessach-Gelblum
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.|Department of Neurology, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Gili
authors.initials: G
authors.lastname: Givati
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.|Department of General Surgery, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Nadav
authors.initials: N
authors.lastname: Haim
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.|Pinchas Borenstein Talpiot Medical Leadership Program, Sheba Medical Center, Tel Hashomer, Israel.|Division of Oncology, Sheba Medical Centre, Tel Hashomer, Israel.
authors.forename: Shani
authors.initials: S
authors.lastname: Paluch-Shimon
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Avraham
authors.initials: A
authors.lastname: Unterman
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Yochay
authors.initials: Y
authors.lastname: Bar-Shavit
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Galit
authors.initials: G
authors.lastname: Grabler
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Doron
authors.initials: D
authors.lastname: Sagi
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.|Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: Anat
authors.initials: A
authors.lastname: Achiron
authors.affiliation: MSR-Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; amitai.ziv@sheba.health.gov.il.
authors.forename: Amitai
authors.initials: A
authors.lastname: Ziv
mesh_terms: D003142:Communication; D004504:Education, Medical, Undergraduate / Q000379:methods*; D000068156:Formative Feedback; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D016544:Patient Simulation; D010808:Physical Examination; D010817:Physician-Patient Relations; D018794:Problem-Based Learning; D012647:Self-Assessment; D013663:Teaching / Q000379:methods*
keywords: clinical teaching; medical education; physician–patient communication; role model; standardized patients