Ramani Subha, Mann Karen, Taylor David, Thampy Harish
a Department of Medicine , Brigham and Women's Hospital , Harvard Medical School, Boston , MA , USA ;
b Division of Medical Education, Faculty of Medicine , Dalhousie University , Halifax , Nova Scotia , Canada ;
Med Teach. 2016 Jul;38(7):642-55. doi: 10.3109/0142159X.2016.1147540. Epub 2016 Apr 13.
This AMEE Guide provides a framework to guide medical educators engaged in the design and implementation of "Resident as Teacher" programs. The suggested approaches are based on established models of program development: the Program Logic model to guide program design, the Dundee three-circle model to inform a systematic approach to planning educational content and the Kirkpatrick pyramid, which forms the backbone of program evaluation. The Guide provides an overview of Resident as Teacher curricula, their benefits and impact, from existing literature supplemented by insights from the authors' own experiences, all of whom are engaged in teaching initiatives at their own institutions. A conceptual description of the Program Logic model is provided, a model that highlights an outcomes-based curricular design. Examples of activities under each step of this model are described, which would allow educational leaders to structure their own program based on the scope, context, institutional needs and resources available. Emphasis is placed on a modular curricular format to not only enhance the teaching skills of residents, but also enable development of future career educators, scholars and leaders. Application of the Dundee three-circle model is illustrated to allow for a flexible curricular design that can cater to varying levels of educational needs and interests. In addition, practical advice is provided on robust assessment of outcomes, both assessment of participants and program evaluation. Finally, the authors highlight the need for congruence between the formal and hidden curriculum through explicit recognition of the value of teaching by institutions, support for development of teaching programs, encouragement of evidence-based approach to education and rewards for all levels of teachers.
本AMEE指南提供了一个框架,以指导从事“住院医师作为教师”项目设计与实施的医学教育工作者。所建议的方法基于既定的项目开发模型:用于指导项目设计的项目逻辑模型、为规划教育内容提供系统方法的邓迪三环模型以及构成项目评估主干的柯克帕特里克金字塔模型。该指南从现有文献以及作者自身经验的见解中提炼出关于“住院医师作为教师”课程的概述、其益处和影响,所有作者均在各自机构参与教学倡议。文中提供了项目逻辑模型的概念性描述,该模型突出基于成果的课程设计。描述了此模型每个步骤下的活动示例,这将使教育领导者能够根据范围、背景、机构需求和可用资源构建自己的项目。重点强调模块化课程形式,不仅要提高住院医师的教学技能,还要培养未来的职业教育工作者、学者和领导者。阐述了邓迪三环模型的应用,以实现能够满足不同教育需求和兴趣水平的灵活课程设计。此外,还提供了关于对成果进行有力评估的实用建议,包括对参与者的评估和项目评价。最后,作者强调通过机构明确认可教学的价值、支持教学项目的发展、鼓励基于证据的教育方法以及对各级教师给予奖励,使正式课程和隐性课程保持一致的必要性。