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QI 1216 Improving Bedside Teaching for Psychiatry Medical Students
Farmer, Joseph Gardner, James Bloomfield, James Supported by the Quality Improvement Team, Coventry and Warwickshire Partnership Trust
Farmer, Joseph
Gardner, James
Bloomfield, James
Supported by the Quality Improvement Team, Coventry and Warwickshire Partnership Trust
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Affiliation
Coventry and Warwickshire Partnership NHS Trust
Other Contributors
Publication date
2025-01
Subject
Collections
Research Projects
Organizational Units
Journal Issue
Abstract
Aim: To improve the bedside teaching experience of medical students during their psychiatry placements.
Feedback from medical students highlighted that during their 6-week placement in psychiatry, they had limited opportunity to complete a full psychiatric history including a risk assessment and a mental state examination (MSE). This often meant that students would finish their block without useful exposure in a controlled environment to talk to patients and gain feedback on their performance.
This project proposed that every medical student should be offered at least one bedside teaching session with an experienced doctor in psychiatry in order to be observed and receive constructive feedback, leading to an increase in student confidence in this area.
A new bedside teaching programme was developed and facilitators were identified to deliver the programme and supervise students. Slots were allocated to pairs of students, offering 2 sessions per pair to be able to alternate between taking a psychiatric history and completing an MSE. A mini-CEX was incorporated into the sessions to be used as evidence for students’ portfolios.
Tools Used:
Student Surveys;
Driver Diagram - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-driver-diagrams.pdf;
PDSA cycles (8 cycles carried out to refine the process) - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf.
Project Impact: Providing medical students with dedicated bedside teaching sessions led to increased confidence levels in spending time on inpatient wards (from 18% to 73%), taking a psychiatric history (from 17% to 85%) and completing an MSE (from 27% to 85%).
Citation
Farmer, Joseph; Gardner, James; Bloomfield, James. QI 1216 Improving Bedside Teaching for Psychiatry Medical Students. Coventry and Warwickshire Partnership NHS Trust, 2025..
Type
Internal Poster