The Physiologic and Psychological Effects of the Bedside Presentation

The bedside case presentation is a time-honored method of teaching medicine. Proponents of this exercise argue that it serves several unique functions. It validates the history, demonstrates key findings on the physical examination, and serves as a model for the interaction between physician and patient. Critics of the bedside presentation, however, have suggested that it may be stressful for patients, which could be especially detrimental to those with ischemic heart disease. To resolve this controversy, we conducted an objective study of the effect of the bedside presentation on patients with suspected acute myocardial infarction who had been admitted to a…