Wilson Frank C
University of North Carolina School of Medicine, 3159 A Bioinformatics Bldg., CB# 7055, Chapel Hill, NC 27599, USA.
Clin Orthop Relat Res. 2007 Jan;454:247-50. doi: 10.1097/BLO.0b013e31802b4944.
This paper stresses the importance to students and residents of committed and competent teaching by residents who nationwide provide 20% to 70% of the clinical teaching for medical students. The obstacles to teaching effectiveness by residents are the lack of: (1) sufficient role modeling by faculty; (2) time (and money); (3) knowledge of the principles of adult learning and teaching techniques; (4) service-specific learning objectives; (5) recognition of teaching efforts; and (6) resident interest in teaching. Overcoming these obstacles will require increased faculty commitment to teaching, compensation for structured educational activities, more effective use of potential teaching moments, teaching workshops for residents, development of service-specific educational objectives, and recognition of exemplary teaching by residents and faculty.
本文强调了住院医师进行尽责且胜任的教学对医学生和住院医师培训学员的重要性。在全国范围内，住院医师为医学生提供了20%至70%的临床教学。住院医师教学效果的障碍包括：（1）教员缺乏足够的榜样作用；（2）时间（和资金）；（3）对成人学习原则和教学技巧的了解；（4）特定科室的学习目标；（5）对教学努力的认可；（6）住院医师对教学的兴趣。克服这些障碍需要教员增加对教学的投入，为结构化教育活动提供报酬，更有效地利用潜在的教学时机，为住院医师举办教学工作坊，制定特定科室的教育目标，以及认可住院医师和教员的模范教学。
