Roanoke Inpatient: Improving Resident-Student Relations

Peter · Site Admin Joined: 18 May 2007 Posts: 32

Concern has been raised about the quality of interaction between residents and students, as it relates to defining roles more clearly and maximizing teaching opportunities.

Although it is stated that residents at Roanoke (as they are Family Practice residents) are not required to teach Pediatrics, it was felt among a few interviewed students that a clearer definition of roles and expectations should be articulated by the service attending. One recurring complaint was that students were not offered the opportunity to present their patients at morning rounds.

Would the learning experience benefit from a written declaration of student and intern/resident expectations regarding the clerkship? Can you suggest what such a document might entail?

Can you make a specific recommendation, such as instituting scheduled resident-student discussion time for the 15 minutes preceding morning rounds? (The goal of this is so the plan can be agreed upon and the student is maximally prepared to present his/her patients.)

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ep2v · Joined: 09 Sep 2007 Posts: 2

One of the biggest problems with the Roanoke peds clerkship is a lack of definition in med students' responsibilities. A written list of expectations would be helpful both to the students and also to the residents/attendings (who are often just as confused about what we are supposed to do).

dddubs · Joined: 22 Sep 2007 Posts: 1

i think the real problem with pediatrics in roanoke is that there's no pediatric residents. the service is made up of family med residents, many of whom don't even like kids or know much about pediatrics. i'm not sure this is a situation where increased communication will help the situation; rather, i think the disorganization comes from the fact that the residents are neither interested nor confident enough at inpatient pediatrics for the service to be organized. i thought i remembered having a list of student responsibilities when i was there... if there isn't anymore it would be good to get it back. but i don't think the disorganization or the student/resident relationship will be helped by such a change.