Wachtel Julie K, Greenberg Marna Rayl, Smith Amy B, Weaver Kevin R, Kane Bryan G
Lehigh Valley Hospital and Health Network, 1240 S Cedar Crest Blvd, Allentown, PA 18103-6218, USA.
J Am Osteopath Assoc. 2013 Jan;113(1):23-33.
Residents play an integral role in educating junior residents, medical students, and patients.
To determine how residents describe their training, proficiency, and comfort level in teaching before and after receiving instruction in clinical teaching.
Emergency medicine residents at a 980-bed suburban hospital system filled out a 12-question survey on their training as teachers and their self-perceptions of themselves as teachers. The residents then participated in a 2-hour education session on adult learning principles, methods of clinical teaching, and how to give effective feedback. After the session, participants completed a second, 11-question survey on the effectiveness of the session.
Thirty-seven residents completed the presession survey and 33 completed the postsession survey. In the presession survey, 23 residents (62%) identified their proficiency as a teacher and ability to give feedback as that of a novice or beginner. Fourteen (38%) felt competent or proficient as teachers. Twenty-six (70%) reported never receiving instruction in clinical teaching during their residency, and 33 (89%) were interested in learning these skills. In the postsession survey, 28 (85%) described the teaching module as very helpful to their training, and 33 (100%) reported feeling more prepared to teach. Twenty-six (79%) stated they were very likely to teach students more often, and 33 (100%) reported a better understanding of how to give effective feedback.
The majority of the residents surveyed expressed an interest in learning teaching skills and felt that completing the training was helpful to their education. After instruction, this cohort of residents felt more prepared and reported they were more likely to teach.
住院医师在培训低年级住院医师、医学生和患者方面发挥着不可或缺的作用。
确定住院医师在接受临床教学指导前后如何描述他们在教学方面的培训、熟练程度和舒适度。
一家拥有980张床位的郊区医院系统的急诊医学住院医师填写了一份关于他们作为教师的培训以及对自己作为教师的自我认知的12个问题的调查问卷。然后,住院医师参加了一次为期2小时的关于成人学习原则、临床教学方法以及如何提供有效反馈的教育课程。课程结束后,参与者完成了关于课程有效性的第二次11个问题的调查问卷。
37名住院医师完成了课前调查,33名完成了课后调查。在课前调查中,23名住院医师(62%)将他们作为教师的熟练程度和提供反馈的能力确定为新手或初学者水平。14名(38%)认为自己作为教师有能力或熟练。26名(70%)报告在住院期间从未接受过临床教学指导,33名(89%)对学习这些技能感兴趣。在课后调查中,28名(85%)将教学模块描述为对他们的培训非常有帮助,33名(100%)报告感觉更有准备去教学。26名(79%)表示他们非常有可能更频繁地教学生,33名(100%)报告对如何提供有效反馈有了更好的理解。
大多数接受调查的住院医师表示有兴趣学习教学技能,并认为完成培训对他们的教育有帮助。接受指导后,这群住院医师感觉更有准备,并报告他们更有可能去教学。