Jafri Wasim, Mumtaz Khalid, Burdick William P, Morahan Page S, Freeman Rosslynne, Zehra Tabassum
Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan.
BMC Med Educ. 2007 Oct 8;7:34. doi: 10.1186/1472-6920-7-34.
Residents play an important role in teaching of medical undergraduate students. Despite their importance in teaching undergraduates they are not involved in any formal training in teaching and leadership skills. We aimed to compare the teaching skills of residents with faculty in facilitating small group Problem Based Learning (PBL) sessions.
This quasi experimental descriptive comparative research involved 5 postgraduate year 4 residents and five senior faculty members. The study was conducted with all phase III (Final year) students rotating in Gastroenterology. The residents and faculty members received brief training of one month in facilitation and core principles of adult education. Different aspects of teaching skills of residents and faculty were evaluated by students on a questionnaire (graded on Likert Scale from 1 to 10) assessing i) Knowledge Base-content Learning (KBL), ii) PBL, iii) Student Centered Learning (SCL) and iv) Group Skills (GS).
There were 33 PBL teaching sessions in which 120 evaluation forms were filled; out of these 53% forms were filled for residents and 47% for faculty group. The faculty showed a statistically greater rating in "KBL" (faculty 8.37 Vs resident 7.94; p-value 0.02), "GS" (faculty 8.06 vs. residents 7.68; p-value 0.04). Differences in faculty and resident scores in "the PBL" and "SCL" were not significant. The overall score of faculty facilitators, however, was statistically significant for resident facilitators. (p = .05).
住院医师在医学本科生教学中发挥着重要作用。尽管他们在本科生教学中很重要,但他们没有接受过任何关于教学和领导技能的正规培训。我们旨在比较住院医师和教员在促进小组基于问题的学习(PBL)课程方面的教学技能。
这项准实验性描述性比较研究涉及5名四年级住院医师和5名资深教员。该研究对所有在胃肠病学轮转的三年级(最后一年)学生进行。住院医师和教员接受了为期一个月的关于促进和成人教育核心原则的简短培训。学生通过一份问卷(从1到10的李克特量表评分)对住院医师和教员教学技能的不同方面进行评估,该问卷评估:i)知识库 - 内容学习(KBL),ii)PBL,iii)以学生为中心的学习(SCL)和iv)小组技能(GS)。
共进行了33次PBL教学课程,填写了120份评估表;其中53%的表格是针对住院医师填写的,47%是针对教员组填写的。教员在“KBL”(教员8.37对住院医师7.94;p值0.02)、“GS”(教员8.06对住院医师7.68;p值0.04)方面的评分在统计学上更高。教员和住院医师在“PBL”和“SCL”方面的得分差异不显著。然而,教员促进者的总体得分在统计学上对住院医师促进者具有显著意义(p = 0.05)。
1)住院医师是教员进行PBL教学的有效补充;2)通过让住院医师参与教师培训工作坊,可以在机构中确定PBL课程的额外促进者。