Department of Family and Geriatric Medicine, University of Louisville School of Medicine, 201 Abraham Flexner Way, Suite 690, Louisville, KY 40202, USA.
Med Teach. 2010;32(2):e49-56. doi: 10.3109/01421590903199726.
The role of residents as teachers is recognized as an important part of medical education. However, residents may not possess the practical skills needed to teach medical students effectively.
In response to a Liaison Committee on Medical Education citation concerning surgery residents' teaching skills, the University of Louisville School of Medicine instituted a campus-wide residents as teachers program based on the bringing education and service together curriculum.
This evaluation plan is grounded on Kirkpatrick's four levels model. Levels 1 and 2 data included post-session learner questionnaires (2007 and 2008) and open-ended facilitator questionnaires (2008). Levels 3 and 4 data included third year medical students' responses to CourseEval questions on residents as teachers (2005-2006 and 2007-2008) and data from third year medical student focus groups (2008).
Levels 1 and 2 data analysis showed statistically significant improvements from session to session in Year I and significant improvements between Years I and II. Levels 3 and 4 data analysis showed third year students' perceptions of most residents as teachers remained high and improved significantly in the surgery clerkship.
Short-term and long-term measures show this curriculum to be successful for an interdisciplinary group of residents.
住院医师作为教师的角色是医学教育的重要组成部分。然而,住院医师可能不具备有效教授医学生的实践技能。
针对医学教育联络委员会提出的有关外科住院医师教学技能的引文,路易斯维尔大学医学院根据“将教育与服务相结合”课程,在校园内推行了一项住院医师作为教师的计划。
本评估计划基于 Kirkpatrick 的四级模型。一级和二级数据包括课后学习者问卷(2007 年和 2008 年)和开放性主持人问卷(2008 年)。三级和四级数据包括三年级医学生对住院医师课程评估问题的回答(2005-2006 年和 2007-2008 年)和三年级医学生焦点小组的数据(2008 年)。
一级和二级数据分析显示,在第一年,从一次会议到另一次会议,以及在第一年和第二年之间,都有统计学意义上的显著改善。三级和四级数据分析显示,三年级学生对大多数住院医师作为教师的看法仍然很高,并且在外科实习中显著提高。
短期和长期措施表明,该课程对跨学科住院医师群体是成功的。