Teaching and learning of junior hospital doctors on ward rounds: the use of video recording analysis by an educationist

Abstract

Video recording was used to study verbal and non-verbal teaching interactions of senior and junior hospital doctors on ward rounds. A lightweight Panasonic camcorder capable of giving good definition in low light conditions was used; radio transmitter lapel microphones and a light weight receiver attached to the camera ensured good sound, despite the peripatetic nature of the ward round. The tapes were analysed by an educationist to focus on specific interactions using a Content Analysis System. The system rests on explicitly formulated rules to categorize and quantify the nature of the verbal interactions. The edited tapes focused on key events which were then discussed with the doctors involved. The work was finely tuned to meet each department's needs. It highlights current training and suggests ways of further development, for example by encouraging trainees to use the video technique themselves. It shows the value of an educationist working closely with the medical teams and acting as a catalyst.