Article Text

Download PDFPDF
Placing education at the centre of the outpatient clinic improves learning and experiences for everyone using the multilevel attainment of learning, teaching and support (MALTS) approach
  1. Mitch Blair1,
  2. Elizabeth Wortley2,
  3. Kirsty McGuff2
  1. 1 Department of Paediatrics, Imperial College London, Harrow, UK
  2. 2 Department of Paediatrics, North West London Hospitals NHS Trust, Harrow, UK
  1. Correspondence to Professor Mitch Blair, Paediatrics, Imperial College London, Harrow HA1 3UJ, UK; m.blair{at}


A large proportion of consultant time is spent in outpatient practice. This setting provides an excellent learning environment for different levels of a trainee if well organised. This article describes an evidence-based teaching approach and its evaluation by trainees, patients and carers in a typical district general hospital setting which it is hoped others might find helpful.

  • medical education
  • out-patients
  • general paediatrics
  • paediatric practice

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors MB: conceptualised the paper. KM: carried out the literature review. EW: carried out the trainees survey and analysis. MB: responsible for patient survey and analysis. All authors contributed equally to writing the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There are no additional data available.