Reyes Carlos, Florenzano Pablo, Contreras Alvaro, González Alejandro, Beltrán Daniela, Aravena Carlos, Grassi Bruno
Escuela de Medicina, Pontificia Universidad Católica de Chile, Chile.
Rev Med Chil. 2012 Nov;140(11):1431-6. doi: 10.4067/S0034-98872012001100008.
Medical doctors need to be competent to teach patients, their families, students, and the health care team. In a previous study we determined that although the residents attach great importance to have teaching skills, they do not feel prepared to meet this role.
To assess self-perception of learning in a formal course of training how to teach for residents.
In 2004 we implemented the course "Residents as Clinical Teachers", based on the Stanford Faculty Development Center for Medical Teachers Model (SFDC), for residents of a Medical School. Residents of all the post graduate programs were invited to take the course as an elective during the period 2004-2011. At the end of the course each resident completed the pre/post Seminar Series Housestaff/student Questionnaire; assessing perceptions of learning, expressed in a Likert scale from 1-5.
The implementation of the course in 111 residents significantly improved self-perception of general preparation for teaching and improved self-perception of preparedness in each educational category. The personal goals most commonly established by participants were on feedback (52,2%), control of session (44%) and communication of goals (40%). Barriers for teaching most frequently identified were lack of time to do clinical teaching (51,3%) and environmental limitations (16,2%). The main impact of the course reported by residents were acquisition of teaching skills or tools for teaching (39,6%), enhancing of motivation (14%), and a richer understanding of teaching principles (14%).
A clinical teaching course for residents improves their self-perception of preparation to teach and enhances motivation for clinical teaching.
医生需要有能力教导患者、其家属、学生以及医疗团队。在之前的一项研究中,我们确定尽管住院医师非常重视教学技能,但他们觉得自己没有准备好承担这一角色。
评估住院医师在正式的教学培训课程中的学习自我认知。
2004年,我们基于斯坦福医学教师发展中心模式(SFDC)为一所医学院的住院医师实施了“住院医师作为临床教师”课程。在2004 - 2011年期间,邀请了所有研究生项目的住院医师将该课程作为选修课。课程结束时,每位住院医师完成了研讨会系列前后住院医师/学生问卷;以1 - 5的李克特量表评估学习认知。
该课程在111名住院医师中的实施显著提高了他们对教学总体准备的自我认知,并改善了在每个教育类别中的准备自我认知。参与者最常设定的个人目标是反馈(52.2%)、课程控制(44%)和目标沟通(40%)。最常被指出的教学障碍是缺乏临床教学时间(51.3%)和环境限制(16.2%)。住院医师报告的该课程的主要影响是获得教学技能或教学工具(39.6%)、增强动力(14%)以及对教学原则有更深入的理解(14%)。
针对住院医师的临床教学课程提高了他们对教学准备的自我认知,并增强了临床教学的动力。