Bedside Case Presentation

Bedside Case Presentation

Abstract

In this study we try to explore the concept of “An Analysis of Patients' Perception of Bedside Case Presentations in a Large County Hospital” in a holistic context. The main focus of the research is on “An Analysis of Patients' Perception of Bedside Case Presentations in a Large County Hospital” and its relation with “phenomenon of studying diseases”. The research also analyzes many aspects of “An Analysis of Patients' Perception of Bedside Case” and tries to gauge its effect on “phenomenon of studying diseases”. Finally the research describes various factors which are responsible for “Analysis of Patients' Perception of Bedside Case Presentations in a Large County Hospital” and tries to describe the overall effect of “Analysis of Patients' Perception of Bedside Case Presentations in a Large County Hospital” on “phenomenon of studying diseases” (Gordon, 2003).

An Analysis of Patients' Perception of Bedside Case Presentations in a Large County Hospital

Introduction

“To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all.” Sir William Osler believed that students learn best by direct interaction with patients and that clinical instruction should begin with the patient and continue with the patient. Medical teaching can occur in multiple settings; in a conference room away from the patient, in the hallway just outside the patient's room, or at the bedside in full view of the patient. Although it was Osler who revolutionized the process of bedside teaching in medicine, Dr Franciscus de la Boe Sylvius, a 17th century professor of medicine at the University of Leyden, wrote, “My method (is) to lead my students by hand to the practice of medicine, taking them every day to see patients in the public hospital, that they may hear the patients' symptoms and see their physical findings.” (1)

Bedside case presentations accounted for approximately 75% of attending-student interactions in 1960, but less than 16% in 1997, with teaching exchanges shifting to the hallway or conference room. Recently, there have been pivotal publications evaluating the effect of bedside case presentations on patients' perspective of their medical care. These studies demonstrated that patients not only tolerate bedside discussions and bedside teaching rounds, but actually prefer them over conference room rounds. In addition, these studies have clearly shown that bedside case presentations improve patients' perception of their medical care . However, these and other reports fail to address the underlying reasons behind patients' overwhelming preference of bedside case discussions. It is extremely important to develop objective evidence as to why so many patients are not comfortable with this form of patient interaction.

Because of geographic bias, prior studies have focused heavily on Caucasian and African-American patients. The Hispanic patient population represents a rapidly growing sector in the American healthcare system and data is lacking to evaluate how Hispanics view physician-patient interaction. In this study, we utilize a detailed written questionnaire to conduct survey of patients at Parkland Hospital, a large county hospital in Dallas, Texas ...