AMEE Guide No 26: clinical teaching in ambulatory care settings: making the most of learning opportunities with outpatients

@article{Dent2005AMEEGN,
  title={AMEE Guide No 26: clinical teaching in ambulatory care settings: making the most of learning opportunities with outpatients},
  author={John Dent},
  journal={Medical Teacher},
  year={2005},
  volume={27},
  pages={302 - 315}
}
  • J. Dent
  • Published 1 June 2005
  • Medicine
  • Medical Teacher
Increasing student numbers and changes in healthcare delivery are making inpatient settings less ideal for teaching undergraduate students. As the focus of healthcare provision shifts towards ambulatory care, increasing attention must now be given to developing opportunities for clinical teaching in this setting. This Education Guide describes the opportunities to be made available by introducing clinical teaching into ambulatory care venues not usually used for undergraduate teaching as well… 
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51 Citations
Highly Influential Citations
2
Background Citations
14
Methods Citations
2

51 Citations

Citation Type

Citation Type

Enhancing clinical skill development through an Ambulatory Medicine Teaching Programme: An evaluation study
TLDR
The Ambulatory Medicine Programme is an effective way of developing medical students’ clinical skills by providing focussed teaching with real patients in a dedicated learning environment and results show that the programme has made a positive impact on students' development of clinical skills, which are transferable to the clinical setting.
[Evaluation of a teaching ambulatory module of respiratory diseases in the undergraduate medical curriculum].
TLDR
Teaching in the ambulatory setting was well evaluated by students and teachers, and the use of qualitative methodology allowed contrasting the opinions of teachers and students.
Teaching and learning in outpatients and beyond: how ambulatory care teaching can contribute to student learning in child health
TLDR
To ensure quality of practice in the future care of children and young people, it is necessary that medical students acquire competence in relating to children and their carers.
Evaluation of a teaching ambulatory module of respiratory diseases in the undergraduate medical curriculum
TLDR
Fourth-year medical students were exposed in a systematic way to real and simulated patients in an outpatient clinic, who presented common respiratory problems, such as asthma, chronic obstructive pulmonary disease, smoking and sleep apnea syndrome, and received feedback from the tutor and their peers.
The use of standardized patients to teach medical students clinical skills in ambulatory care settings
TLDR
A standardized patient (SP) encounter program in an ambulatory care setting, followed by tutor's feedback based on a video recording, can be used for teaching basic clinical ambulanceatory care skills.
Integrating teaching into routine outpatient care: The design and evaluation of an ambulatory training concept (HeiSA)
TLDR
A novel single-session ambulatory teaching concept (Heidelberg Student Ambulatory training, “HeiSA”), which integrates student teaching into routine care and can potentially be adapted to other outpatient departments.
Clinical Teaching: The Bedside and Beyond
TLDR
Significant and important principles of patient care, discussion of current medical practices, more sophisticated physical diagnosis and interviewing skills, and learning how to integrate medical evidence with the personal preferences of the patient are learned at the bedside.
Advantages and Perspectives of Teaching in Outpatient Clinics: A Systematic Review
TLDR
A systematic review of the literature reveals that outpatient clinics can offer an efficient and holistic view of patient care, while covering a wide range of general and specialty medical practices.
Fitting It All In: An Interactive Workshop for Clinician-Educators to Improve Medical Education in the Ambulatory Setting
TLDR
This interactive workshop is designed for clinician-educators in ambulatory medical education and has been well received in a variety of national academic settings and modified to be applicable in a range of educational environments.
Applying Educational Theory to Optimize Trainee Education in the Ambulatory Virtual Care Environment
TLDR
This monograph proposes an approach grounded in situated learning and legitimate peripheral participation for teaching in the VC environment, particularly during real-time video visits, whereby preceptors may capitalize on the unique learning and assessment opportunities provided during VC encounters.
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References

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TLDR
Evaluated tutor and trainee perceptions of the differences between educational experiences on 2 inpatient clinical teaching units and in an ambulatory care medical clinic found that experiences with patients on the inpat...
Teaching and learning in ambulatory care settings: a thematic review of the literature
  • D. Irby
  • Medicine
    Academic medicine : journal of the Association of American Medical Colleges
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TLDR
A thematic review was conducted of the 1980–1994 research literature on teaching and learning in ambulatory care settings for both undergraduate and graduate medical education, indicating that some medical students and residents have deficient skills in interviewing, physical examination, and management of psychosocial issues.
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An Ambulatory Care Teaching Centre (ACTC) has provided an opportunity to develop an integrated teaching programme in a supervised environment which links students' initial clinical experiences in the…
Ambulatory teaching “lite”: less clinic time, more educationally fulfilling
TLDR
Instructional strategies teachers and learners can use in ambulatory care training that can occur before or after scheduled clinic hours are described, thus providing instruction without disrupting a preceptor's busy clinic.
Role of ambulatory care for student–patient interaction: the epitome model
TLDR
It is concluded that student opportunities to develop clinical skills will not be adversely affected by the trend towards ambulatory care teaching, and there should be more clinical teaching in the out‐patient setting.
Teaching in the outpatient clinic. Practical tips.
F or teachers of medicine, the outpatient clinic promises many unique educational opportunities including more complete observation of chronic diseases, closer relationships between teachers and…
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TLDR
A model that structures and defines students' tasks for a follow-up office visit that gives priority to the organization of patient care issues, the efficient use of patient and preceptor time, and the student's identification of a learning agenda for each patient encounter is described.
Assessing the consistency and educational benefits of students' clinical experiences during an ambulatory care internal medicine rotation
TLDR
The variability and potentially worrisome gaps in the students' experiences in the ambulatory care settings studied are probably representative of students' experience in such settings, and should be considered in the implementation and evaluation of educational experiences in ambulanceatory care.
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TLDR
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Teaching senior medical students in an office setting: the apprentice system revisited: a cardiologist's perspective.
TLDR
A successful four year project for fourth year students utilizing a busy practice of cardiology/internal medicine in monthly electives to help students gain experience and confidence in the clinical skills of diagnosis and to help them choose "high tech" procedures that are appropriate, and have acceptable cost/benefit ratios.
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