Evidence map›Paper›PMID 38918743›Full record

Observational studyBMC medical education2024

Too much time or not enough? An observational study of teacher wait time after questions in case-based seminars.

Janina Häusler, Martin Gartmeier, Marc Georg Grünewald, Alexander Hapfelmeier, Theresa Pfurtscheller, Tina Seidel, Pascal Oliver Berberat

Abstract readObservational Study
In one paragraph

Observational study in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Yonder: Prescribing cascades, teacher wait time, online services for mental health conditions, and community deep vein thrombosis pathways.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Janina Häusler *School of Health and Medicine, Technical University of Munich, TUM Medical Education Center, Chair for Medical Education, Munich, Germany.
Martin Gartmeier *School of Health and Medicine, Technical University of Munich, TUM Medical Education Center, Chair for Medical Education, Munich, Germany. martin.gartmeier@tum.de.
Marc Georg GrünewaldSchool of Health and Medicine, Technical University of Munich, TUM Medical Education Center, Chair for Medical Education, Munich, Germany.
Alexander HapfelmeierSchool of Health and Medicine, Institute of General Practice and Health Services Research, Technical University of Munich, Munich, Germany.
Theresa PfurtschellerSchool of Health and Medicine, Technical University of Munich, TUM Medical Education Center, Chair for Medical Education, Munich, Germany.
Tina SeidelSchool of Social Sciences and Technology, Technical University of Munich, Friedl Schöller Endowed Chair for Educational Psychology, Munich, Germany.
Pascal Oliver BerberatSchool of Health and Medicine, Technical University of Munich, TUM Medical Education Center, Chair for Medical Education, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe define teacher wait time (TWT) as a pause between a teacher question and the following response given by a student. TWT is valuable because it gives students time to activate prior knowledge and reflect on possible answers to teacher questions. We seek to gain initial insights into the phenomenon of TWT in medical education and give commensurate recommendations to clinical teachers.

methodsWe observed n = 719 teacher questions followed by wait time. These were video-recorded in 29 case-based seminars in undergraduate medical education in the areas of surgery and internal medicine. The seminars were taught by 19 different clinical teachers. The videos were coded with satisfactory reliability. Time-to-event data analysis was used to explore TWT overall and independently of question types.

resultsIn our sample of case-based seminars, about 10% of all teacher questions were followed by TWT. While the median duration of TWT was 4.41 s, we observed large variation between different teachers (median between 2.88 and 10.96 s). Based on our results, we recommend that clinical teachers wait for at least five, but not longer than 10-12 s after initial questions. For follow-up and reproduction questions, we recommend shorter wait times of 5-8 s.

conclusionsThe present study provides insights into the frequency and duration of TWT and its dependence on prior questions in case-based seminars. Our results provide clinical teachers with guidance on how to use TWT as an easily accessible tool that gives students time to reflect on and respond to teacher questions.

Indexed as

Education, Medical, UndergraduateFaculty, MedicalEducational MeasurementGeneral SurgeryHumansInternal MedicineStudents, MedicalTeachingTime FactorsVideo RecordingCase-based learningDialogic teachingInteractive teachingTeacher wait timeVideo study

Identifiers

PMID38918743
PMCPMC11202393

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.