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Evaluation of a worksheet to structure teaching and learning outpatient internal medicine.
Med Teach. 2003 May; 25(3):296-301.MT

Abstract

The Worksheet for Ambulatory Medicine (WAM) is an educational tool designed to enhance teaching and learning outpatient internal medicine. It was developed to identify student learning needs, focus teaching, and structure educational and patient care activities in a clinic setting. The purpose of the study was to assess the feasibility and educational value of using the WAM with medical students and preceptors. Sixty-five third- and fourth-year medical students and 12 supervising faculty at two university-based general medicine outpatient clinics used the WAM during required internal medicine clerkships. Students and faculty completed written evaluations. Results are reported as percentages of respondents agreeing or disagreeing with a variety of statements, and mean rating scores for several questions designed to assess the feasibility and educational value of using the worksheet. Student response rate was 89%; 83% found the WAM easy to use; 65% found it too structured. Half said the worksheet helped diagnostic decision making and note writing, and two-thirds thought it promoted careful thinking about differential diagnosis and aided in identifying learning issues. Some 56% said using the WAM motivated outside reading. Most students found it helpful for identifying patient agendas and focusing case presentations (61% and 67, respectively). Only 36% said the WAM helped with time management. Most preceptors thought the WAM helped identify earning issues, focus case presentations and clarify student expectations. There was less agreement among preceptors that it allowed them to demonstrate clinical reasoning or provide students with more autonomy in decision making. Nearly half the preceptors did not find it helpful with time management. Both students and preceptors rated the overall value and usefulness of the WAM as good to very good, and a majority recommended that others use it. Using the Worksheet for Ambulatory Medicine was feasible and educationally valuable for many third- and fourth-year medical students and their preceptor in a required ambulatory internal medicine clerkship.

Authors+Show Affiliations

University of Minnesota, Section of General Internal Medicine, Veterans Affairs Medical Center, Minneapolis, 55417, USA.roth009@tc.umn.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

12881054

Citation

Roth, Craig S., et al. "Evaluation of a Worksheet to Structure Teaching and Learning Outpatient Internal Medicine." Medical Teacher, vol. 25, no. 3, 2003, pp. 296-301.
Roth CS, Fagan MJ, Griffith JM, et al. Evaluation of a worksheet to structure teaching and learning outpatient internal medicine. Med Teach. 2003;25(3):296-301.
Roth, C. S., Fagan, M. J., Griffith, J. M., Nelson, D., & Zhao, Y. (2003). Evaluation of a worksheet to structure teaching and learning outpatient internal medicine. Medical Teacher, 25(3), 296-301.
Roth CS, et al. Evaluation of a Worksheet to Structure Teaching and Learning Outpatient Internal Medicine. Med Teach. 2003;25(3):296-301. PubMed PMID: 12881054.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of a worksheet to structure teaching and learning outpatient internal medicine. AU - Roth,Craig S, AU - Fagan,Mark J, AU - Griffith,Jayne M, AU - Nelson,David, AU - Zhao,Yanli, PY - 2003/7/26/pubmed PY - 2003/10/10/medline PY - 2003/7/26/entrez SP - 296 EP - 301 JF - Medical teacher JO - Med Teach VL - 25 IS - 3 N2 - The Worksheet for Ambulatory Medicine (WAM) is an educational tool designed to enhance teaching and learning outpatient internal medicine. It was developed to identify student learning needs, focus teaching, and structure educational and patient care activities in a clinic setting. The purpose of the study was to assess the feasibility and educational value of using the WAM with medical students and preceptors. Sixty-five third- and fourth-year medical students and 12 supervising faculty at two university-based general medicine outpatient clinics used the WAM during required internal medicine clerkships. Students and faculty completed written evaluations. Results are reported as percentages of respondents agreeing or disagreeing with a variety of statements, and mean rating scores for several questions designed to assess the feasibility and educational value of using the worksheet. Student response rate was 89%; 83% found the WAM easy to use; 65% found it too structured. Half said the worksheet helped diagnostic decision making and note writing, and two-thirds thought it promoted careful thinking about differential diagnosis and aided in identifying learning issues. Some 56% said using the WAM motivated outside reading. Most students found it helpful for identifying patient agendas and focusing case presentations (61% and 67, respectively). Only 36% said the WAM helped with time management. Most preceptors thought the WAM helped identify earning issues, focus case presentations and clarify student expectations. There was less agreement among preceptors that it allowed them to demonstrate clinical reasoning or provide students with more autonomy in decision making. Nearly half the preceptors did not find it helpful with time management. Both students and preceptors rated the overall value and usefulness of the WAM as good to very good, and a majority recommended that others use it. Using the Worksheet for Ambulatory Medicine was feasible and educationally valuable for many third- and fourth-year medical students and their preceptor in a required ambulatory internal medicine clerkship. SN - 0142-159X UR - https://www.unboundmedicine.com/medline/citation/12881054/Evaluation_of_a_worksheet_to_structure_teaching_and_learning_outpatient_internal_medicine_ L2 - https://www.tandfonline.com/doi/full/10.1080/0142159031000100391 DB - PRIME DP - Unbound Medicine ER -