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Rheumatology outpatient training: Time for a re-think?
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Introduction |
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Rheumatology, as a specialty, presents the education and training process with particular challenges. The rheumatology trainee is likely to spend more time alone seeing patients in an outpatient clinic than on ward rounds with bedside teaching. Whereas the teaching ward round is still a familiar phenomenon in hospital medicine, true `teaching clinics' are still in their infancy. With heightened patient expectations, financial constraints, and increasing workloads, there is a growing concern of how an appropriate balance between training and service will be maintained for rheumatology trainees in the outpatient `classroom'.
In contrast with inpatient teaching, time is more limited in outpatient
clinics for in depth discussion, opportunity to probe the trainee's
knowledge of cases, and to observe the patient-trainee interaction.
Furthermore, there is limited time to demonstrate clinical skills, to
reflect upon the experience, and for assessment and feedback. A recent
North American review of research literature on education in
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