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Education| Volume 41, ISSUE 2, P190-195, August 2011

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Back to the Bedside: The 8-year Evolution of a Resident-as-Teacher Rotation

  • Jonathan S. Ilgen
    Correspondence
    Reprint Address: Jonathan S. Ilgen, md, Division of Emergency Medicine, Harborview Medical Center, 325 9th Avenue, Box #359702, Seattle, WA 98104
    Affiliations
    Division of Emergency Medicine, University of Washington, Seattle, Washington
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  • James K. Takayesu
    Affiliations
    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts
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  • Kriti Bhatia
    Affiliations
    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Brigham & Women's Hospital, Boston, Massachusetts
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  • Regan H. Marsh
    Affiliations
    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts

    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Brigham & Women's Hospital, Boston, Massachusetts
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  • Sachita Shah
    Affiliations
    Department of Emergency Medicine, Rhode Island Hospital, Brown University, Providence, Rhode Island
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  • Susan R. Wilcox
    Affiliations
    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts
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  • William H. Krauss
    Affiliations
    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts

    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Brigham & Women's Hospital, Boston, Massachusetts
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  • Eric S. Nadel
    Affiliations
    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts

    Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine, Brigham & Women's Hospital, Boston, Massachusetts
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      Abstract

      Background

      Teaching our residents to teach is a vital responsibility of Emergency Medicine (EM) residency programs. As emergency department (ED) overcrowding may limit the ability of attending physicians to provide bedside instruction, senior residents are increasingly asked to assume this role for more junior trainees. Unfortunately, a recent survey suggests that only 55% of all residencies provide instruction in effective teaching methods. Without modeling from attending physicians, many residents struggle with this responsibility.

      Objectives

      We introduced a “Resident-as-Teacher” curriculum in 2002 as a means to address a decline in bedside instruction and provide our senior residents with a background in effective teaching methods.

      Discussion

      Here, we describe the evolution of this resident-as-teacher rotation, outline its current structure, cite potential pitfalls and solutions, and discuss the unique addition of a teach-the-teacher curriculum.

      Conclusion

      A resident-as-teacher rotation has evolved into a meaningful addition to our senior residents' training, fostering their growth as educators and addressing our need for bedside instruction.

      Keywords

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