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The Curbsiders Internal Medicine Podcast


Supercharge your learning as these board-certified Internists interview the experts to bring you clinical pearls, practice changing knowledge, and a healthy dose of humor. 

Jun 26, 2019

Bring back Bedside Rounds with tips from a master clinician educator, Jeff Wiese MD MACP (Tulane). How to accomplish teaching in the hospital is not on the curriculum for most folks in medical school or residency. This can feel especially daunting as you move from resident to attending. We address strategies to assess, monitor, teach, and coach the medical learners under your leadership with teaching wizard and coach extraordinaire, Dr. Jeff Wiese, recipient of over 50 teaching awards! ACP members can claim CME-MOC credit at https://acponline.org/curbsiders (CME goes live at 0900 ET on the release date).

Full show notes available at http://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

  • Written and Produced by:  Matthew Watto MD FACP and Beth Garbitelli MS1 (almost MS2!)
  • CME questions by: Matthew Watto MD FACP
  • Hosts: Stuart Brigham MD, Paul Williams MD FACP, Matthew Watto MD FACP
  • Images and infographics: Beth Garbitelli MS1
  • Edited by: Matthew Watto MD FACP, Emi Okamoto MD
  • Guest: Jeff Wiese MD MACP

Time Stamps

  • 00:00 Intro, disclaimer, guest bio
  • 03:28 Guest one-liner, love of Aaron Sorkin, book recommendations
  • 10:52 Setting goals and expectations on day one
  • 23:52 Preparing the resident for autonomy and assessing their place on the scale of supervision to autonomy
  • 28:18 How to prepare for rounds as an attending to set yourself up for efficiency and success; The cardinal rule for being an attending
  • 33:50 How long does it take determine a resident’s readiness for autonomy; Give your colleagues an “educational signout”
  • 38:31 How to handle a request for card flipping; Prodiving a rationale for bedside rounds
  • 43:54 The three Ds of Rounding; Should there be a fourth D
  • 47:28 The choreography of bedside rounds; Privacy concerns; More on the rationale
  • 63:00 How to handle unanswered questions in front of the patient
  • 67:19 Resident as a “proud parent” on rounds
  • 68:30 Rounding without the team (the afternoon)
  • 73:18 Hand sanitizer (the Purell)
  • 79:45 Advice to new PGY2s
  • 81:35 When and how to incorporate teaching on high value care (specifically labs)
  • 83:22 What’s the role of medical student on the wards team
  • 85:18 Take home points
  • 89:04 Plug: Teaching in the Hospital Deux
  • 90:12 Outro