Teaching Ambulatory Medicine: Moving Medical Education into the Office

Overview

Many crucial medical care decisions are made in outpatient settings, yet physician training continues to be primarily conducted in inpatient settings. Medical educators have long recognized the need for better ambulatory care training. Teaching Ambulatory Medicine: Moving Medical Education into the Office is a comprehensive guide to teaching this vital aspect of medical care. Emphasizing the benefits of ambulatory teaching for both medical students and office-based physicians, Durso offers practical advice on ...

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Overview

Many crucial medical care decisions are made in outpatient settings, yet physician training continues to be primarily conducted in inpatient settings. Medical educators have long recognized the need for better ambulatory care training. Teaching Ambulatory Medicine: Moving Medical Education into the Office is a comprehensive guide to teaching this vital aspect of medical care. Emphasizing the benefits of ambulatory teaching for both medical students and office-based physicians, Durso offers practical advice on starting and carrying out medical education in this area.

Teaching Ambulatory Medicine covers the principles of teaching ambulatory medicine and the techniques required to ensure a successful educational experience for students and teachers alike. Durso describes the basic elements of learning theory and the steps involved in developing an effective student-teacher relationship. Emphasizing the importance of the doctor-patient relationship in ambulatory care settings, Durso provides tips for preparing students to interact with patients and for including patients in the learning experience. Since most physicians have no formal training as teachers, the author includes methods for evaluating the learner and the teacher, and he offers suggestions for addressing the challenges that may arise when teaching students in the office. Teaching Ambulatory Medicine is a helpful guide to a rewarding aspect of medical education and will be tremendously useful for all those teaching health care professionals who are in the early stages of their careers.

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Editorial Reviews

Doody's Review Service
Reviewer: Alys S. Alper, MD, MPH (Tulane University School of Medicine)
Description: This is a guide/tool for physicians engaging in medical education in the outpatient setting.
Purpose: The book attempts to provide physicians who are not classically trained as teachers guidance and insight to effective teaching strategies in an office environment. Not only is the book's objective worthy, but it's also very timely as medical education and medical care is shifting more to the outpatient sector. This is further complicated by increasing financial and time constraints as well as complexity, all of which the book addresses. The book meets its objectives on several levels as it is very comprehensive, but at times loses focus without enough concrete detail.
Audience: The book is written for physicians, both academic and community-based, but the emphasis seems to be at a community preceptor level. Additionally, the book addresses education of both students and residents, but focuses at a student level.
Features: The book establishes the need for definitive guidelines or parameters for in-office education as well as establishing goals for both the teacher and the learner. Each chapter begins with real examples/vignettes that serve to drive the subsequent discussions of teaching methods and diversity as well as the ability to capitalize on any given encounter to best meet predetermined goals. Toward the end, methods of assessment and evaluation are outlined. I found the evaluation tool particularly detailed and useful. Drawbacks include the dull presentation from the drab front cover to font/typeset within the chapters. At times, the information seems to run together and the layout is distracting. I also would have preferred more concrete examples of implementation and less educational theory.
Assessment: Overall, I found the book a useful and provocative read. It stimulates awareness of the need to be "proactive" as a teacher as well as physician in order to extract the most learning and teaching from each opportunity-no matter how or where it presents itself. I have not read anything that provided similar content.
Paul M. Paulman
Dr. Durso's book will enrich the field [of ambulatory medicine] and help improve the teaching of our medical students in the community.
Paul J. Munson
This book [will] be a great addition to the literature in ambulatory medical education.
From The Critics
Many medical care decisions are made in outpatient settings, yet physician training continues to be conducted in inpatient settings. Emphasizing the benefits of ambulatory teaching for both medical students and office-based physicians, this work offers advice on starting and carrying out medical education in outpatient settings. It describes basic elements of learning theory and the student-teacher relationship, and provides tips on preparing students to interact with patients. Since most physicians have no formal training as teachers, methods for evaluating the teacher are included. Durso teaches medicine at the Johns Hopkins University School of Medicine. Annotation c. Book News, Inc., Portland, OR

2 Stars from Doody
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Product Details

  • ISBN-13: 9780801869037
  • Publisher: Johns Hopkins University Press
  • Publication date: 6/28/2002
  • Pages: 192
  • Product dimensions: 5.90 (w) x 8.80 (h) x 0.50 (d)

Meet the Author

Samuel C. Durso, M.D., is assistant professor of medicine at the Johns Hopkins University School of Medicine and medical director of Geriatric, Primary Care, and Specialty Services at Johns Hopkins at White Marsh.

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Table of Contents

Preface
1 Teaching in the Office: Getting Started 1
2 The Goals of Teaching Medicine in the Ambulatory Setting 9
3 Adult Learning 26
4 Setting the Stage for Effective Learning 46
5 What to Teach 68
6 How to Teach 94
7 Problems and Challenges in Ambulatory Teaching 121
8 Evaluating the Learner and the Teacher 145
References 167
Index 171
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