What advice do you have for new hospitalists attending on teaching services for the first time?

My advice is to focus less on being the "expert" and more on creating the conditions for learning. Medical education has changed considerably over the past decade. We now recognize that the most effective teaching attendings are not simply those with the greatest fund of knowledge, but those who foster psychologically safe learning environments where trainees feel comfortable asking questions, admitting uncertainty, and stretching beyond their current abilities. In many ways, the goal has shifte...

I think there are three main things that contribute to success when attending a teaching team, though this is not an exhaustive list, of course- just some good starting points in my opinion! Also, this is internal medicine influenced, as that's what I practice.

1. Set clear expectations for your team: I hand out a one-page (double-sided) outline of my expectations. I created it early in my career, and my teams always appreciate it. Some of my points in it include that the senior resident should be...

I think a lot of new teaching attendings put a lot of pressure on themselves to do all the teaching. Instead, I found it to be a lot of fun to assign the next day's teaching to the students or the residents. This gets them all engaged, ensures they are looking up evidence-based practice, and gives them the opportunity to teach others in a low-pressure environment (not “on the spot” since they have prep time).