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我们应该教老师什么?确定临床督导者的学习重点。

What should we teach the teachers? Identifying the learning priorities of clinical supervisors.

机构信息

Centre for Research into Assessment and Digital Learning (CRADLE), Deakin University, Geelong, Australia.

Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.

出版信息

Adv Health Sci Educ Theory Pract. 2018 Mar;23(1):29-41. doi: 10.1007/s10459-017-9772-3. Epub 2017 Mar 17.

Abstract

Clinicians who teach are essential for the health workforce but require faculty development to improve their educational skills. Curricula for faculty development programs are often based on expert frameworks without consideration of the learning priorities as defined by clinical supervisors themselves. We sought to inform these curricula by highlighting clinical supervisors own requirements through answering the research question: what do clinical supervisors identify as relative strengths and areas for improvement in their teaching practice? This mixed methods study employed a modified version of the Maastricht Clinical Teaching Questionnaire (mMCTQ) which included free-text reflections. Descriptive statistics were calculated and content analysis was conducted on textual comments. 481 (49%) of 978 clinical supervisors submitted their mMCTQs and associated reflections for the research study. Clinical supervisors self-identified relatively strong capability with interpersonal skills or attributes and indicated least capability with assisting learners to explore strengths, weaknesses and learning goals. The qualitative category 'establishing relationships' was the most reported strength with 224 responses. The qualitative category 'feedback' was the most reported area for improvement, with 151 responses. Key areas for curricular focus include: improving feedback practices; stimulating reflective and agentic learning; and managing the logistics of a clinical education environment. Clinical supervisors' self-identified needs provide a foundation for designing engaging and relevant faculty development programs.

摘要

临床教师对于卫生人力至关重要,但需要师资发展来提高他们的教育技能。师资发展计划的课程通常基于专家框架,而没有考虑到临床主管自己定义的学习重点。我们通过回答研究问题来为这些课程提供信息:临床主管在教学实践中认为自己的相对优势和需要改进的领域是什么?这项混合方法研究采用了改良版的马斯特里赫特临床教学问卷(mMCTQ),其中包括自由文本反思。计算了描述性统计数据,并对文本评论进行了内容分析。在 978 名临床主管中,有 481 名(49%)提交了他们的 mMCTQ 及其相关反思以供研究使用。临床主管自我评估在人际关系技能或属性方面具有相对较强的能力,并表示在帮助学习者探索优势、劣势和学习目标方面的能力最弱。“建立关系”是报告最多的强项,有 224 次回应。“反馈”是报告最多的需要改进的领域,有 151 次回应。课程重点关注的关键领域包括:改进反馈实践;激发反思和自主学习;以及管理临床教育环境的后勤工作。临床主管自我确定的需求为设计引人入胜和相关的师资发展计划提供了基础。

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