• J Gen Intern Med · Dec 2021

    Generalists as Clinical Physiologists: Bringing Science Back to the Bedside.

    • Daniel N Ricotta, Andrew J Hale, Jason A Freed, Tara E Scribner, Mark L Zeidel, and Shoshana J Herzig.
    • Department of Medicine, Beth Israel Deaconess Medical Center, Shapiro Institute for Education and Research, Boston, MA, 02215, USA. dricotta@bidmc.harvard.edu.
    • J Gen Intern Med. 2021 Dec 1; 36 (12): 384738513847-3851.

    BackgroundFew generalists engage in basic science research or feel comfortable teaching physiology at the bedside. This may reflect a lack of understanding or confidence teaching physiologic principles.AimTo inspire general internists to relearn and teach physiology in clinical practice.SettingAn active biomedical research laboratory.ParticipantsWe educated 67 faculty participants (4 primary care, 59 hospitalists, and 4 other specialties) from 24 medical centers, representing 17 states.Program DescriptionThe 5-day course was structured around re-learning basic physiology principles and developing teaching skills. Participants engaged in hands-on experiments through 4 modules using aquatic species, each paired with a physiology content primer. Participants also developed teaching scripts based on their experiments.Program EvaluationPost-course surveys revealed that 97% felt confident teaching physiology at the bedside, 100% felt the course enhanced their understanding of the mechanisms of disease, and there was a significant improvement in self-reported teaching ability.DiscussionAn immersive, hands-on faculty development course that integrated physiology with clinical decision-making increased participants' comfort level and self-rated ability to teach and incorporate physiology in their clinical work. We believe faculty development is one potential solution to the growing chasm between clinicians and scientists in general medicine.© 2021. Society of General Internal Medicine.

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