The teacher and learner interactive assessment system (TeLIAS): a new tool to assess teaching behaviors in the ambulatory setting.

Full Abstract

BACKGROUND:
There are no objective tools to assess ambulatory teaching, an increasingly important component of medical education.

PURPOSE:
To develop and describe an objective ambulatory teaching tool.

METHODS:
Exactly 30 consecutive ambulatory teaching encounters were audio taped. Audio tapes were transcribed and teacher-learner utterances were qualitatively analyzed by 3 coders using a grounded theory approach.

RESULTS:
A total of 4,560 utterances were coded:
1/3 were devoted to case presentations, and the remainder to case discussion. Most learner utterances conveyed factual patient information; only 7% conveyed learner thoughts on diagnosis or management. Attending utterances were equally divided between questions, statements of fact, and management statements. Most attending questions (75%) asked patient or medical facts; few were of a higher-level asking learners to analyze, synthesize, or apply content. Feedback, although common (10%), consisted of mostly minimal statements such as "right" or "I agree." At the bedside, 80% of utterances were by the teacher.

CONCLUSIONS:
This is a feasible tool that reliably documents ambulatory teacher and learner behaviors and may be useful for educational research and faculty development.

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Author information

Author/s: Jackson, Jeffrey L (JL); O'Malley, Patrick G (PG); Salerno, Stephen M (SM); Kroenke, Kurt (K);

Affiliation: Department of Medicine, Walter Reed Army Medical Center, Washington, DC, USA. jejackson(-atsign-)usuhs.mil

Journal and publication information

Publication Type: Journal Article

Journal: Teaching and learning in medicine (Teach Learn Med), published in United States. (Language: eng)

Reference: 2002-; vol 14 (issue 4) : pp 249-56

Dates: Created 2002/10/24; Completed 2003/01/31; Revised 2007/11/15;

PMID: 12395488, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Ambulatory Care - organization & administration
Education, Medical - methods; standards
Evaluation Studies as Topic
Humans

Humans
Interprofessional Relations
Tape Recording
Teaching - methods; standards

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