Drowos Joanna, Baker Suzanne, Harrison Suzanne Leonard, Minor Suzanne, Chessman Alexander W, Baker Dennis
J. Drowos is associate professor, Integrated Medical Science Department, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, Florida. S. Baker is research program director, Department of Geriatrics, Florida State University College of Medicine, Tallahassee, Florida. S.L. Harrison is professor and family medicine director, Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee, Florida. S. Minor is clinical faculty development director, Office of Medical Education, Florida International University Herbert Wertheim College of Medicine, Miami, Florida. A.W. Chessman is professor, Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina. D. Baker is emeritus professor, Department of Family Medicine and Rural Health, Florida State University College of Medicine, Tallahassee, Florida.
Acad Med. 2017 Aug;92(8):1175-1180. doi: 10.1097/ACM.0000000000001626.
Community-based faculty play a large role in training medical students nationwide and require faculty development. The authors hypothesized that positive relationships exist between clerkships paying preceptors and requiring faculty development, and between protected clerkship directors' time and delivering face-to-face preceptor training, as well as with the number or length of community-based preceptor visits. Through under standing the quantity, delivery methods, barriers, and institutional support for faculty development provided to community-based preceptors teaching in family medicine clerkships, best practices can be developed.
Data from the 2015 Council of Academic Family Medicine's Educational Research Alliance survey of Family Medicine Clerkship Directors were analyzed. The cross-sectional survey of clerkship directors is distributed annually to institutional representatives of U.S. and Canadian accredited medical schools. Survey questions focused on the requirements, delivery methods, barriers, and institutional support available for providing faculty development to community-based preceptors.
Paying community-based preceptors was positively correlated with requiring faculty development in family medicine clerkships. The greatest barrier to providing faculty development was community-based preceptor time availability; however, face-to-face methods remain the most common delivery strategy. Many family medicine clerkship directors perform informal or no needs assessment in developing faculty development topics for community-based faculty.
Providing payment to community preceptors may allow schools to enhance faculty development program activities and effectiveness. Medical schools could benefit from constructing a formal curriculum for faculty development, including formal preceptor needs assessment and program evaluation. Clerkship directors may consider recruiting and retaining community-based faculty by employing innovative faculty development delivery methods.
在全国范围内,基于社区的教员在医学生培训中发挥着重要作用,且需要教员发展。作者推测,为带教教师支付报酬并要求进行教员发展的临床实习之间,以及受保护的临床实习主任的时间与提供面对面的带教教师培训之间,以及与基于社区的带教教师访视的次数或时长之间存在积极关系。通过了解为在家庭医学临床实习中教学的基于社区的带教教师提供教员发展的数量、交付方式、障碍和机构支持,可以制定最佳实践方案。
对2015年学术家庭医学理事会教育研究联盟对家庭医学临床实习主任的调查数据进行了分析。对临床实习主任的横断面调查每年分发给美国和加拿大认可医学院的机构代表。调查问题集中在为基于社区的带教教师提供教员发展的要求、交付方式、障碍和机构支持。
为基于社区的带教教师支付报酬与家庭医学临床实习中要求教员发展呈正相关。提供教员发展的最大障碍是基于社区的带教教师的时间可用性;然而,面对面的方法仍然是最常见的交付策略。许多家庭医学临床实习主任在为基于社区的教员制定教员发展主题时进行非正式或根本不进行需求评估。
向社区带教教师支付报酬可能使学校能够加强教员发展计划活动并提高其有效性。医学院校可以从构建正式的教员发展课程中受益,包括正式的带教教师需求评估和计划评估。临床实习主任可以考虑通过采用创新的教员发展交付方法来招募和留住基于社区的教员。