Bellet's1 discussion of how to improve teaching on the hospital wards in the June issue of the Archives was excellent. I would like to comment on a few issues that the author touched on only briefly and offer other suggestions on how to make teaching more effective.
Whereas I agree with Bellet that the ward teaching responsibilities need to be shared by the attending physician and the senior resident, he does not specifically mention how to accomplish this. If the attending and senior resident met to negotiate the division of teaching responsibilities, these would be more clear, as would the expectations of both.2,3 As an example, the attending could assume the primary responsibility for reviewing every medical student's written history and physical examination of patients, providing each with timely feedback. In addition, many attendings at our institution also conduct student-oriented patient care discussions apart from rounds with the