a Internal Medicine , Northwell Health , Manhasset , NY , USA.
b Center for Learn and Innovation & Physician Leadership Institute, Lake Success , NY , USA.
Med Educ Online. 2017;22(1):1320186. doi: 10.1080/10872981.2017.1320186.
Chief Residents must lead, manage and mentor a diverse and often large group of residents, however there is a lack of formal leadership training throughout graduate medical education.
Development of a 3-part Chief Resident (CR) Program focused on leading, managing and mentoring.
Each participant completes an Emotional Intelligence (EI) Inventory prior to the day-long event. Participants receive their EI scores at the beginning of the program, which features interactive sessions on leadership, management, and feedback skills. The program then reinforces the application of their new knowledge about EI through a four station OSTE (Observed Structured Teaching Encounter). CRs practice feedback and coaching skills in a simulated environment where they need to provide the context of formative feedback to a standardized resident.
The aggregated mean pre-session EI score for all participants was 76.9 (an ideal score is >85). An independent-samples t-test compared the CRs' leadership and feedback performance on their first and second OSTE performance within a single afternoon session. There was a significant difference between the first OSTE performance (M = 47.92, SD = 7.8) and the second OSTE performance (M = 51.22, SD = 6.9); t (68) = 1.99, p = 0.006. These results suggest that participating in multiple OSTEs positively reinforces the core interpersonal and communication skills discussed in the didactic and practiced in the interactive portions of the program.
The low mean pre-session EI score achieved by our participants supports the idea that CRs enter their new roles with a level of EI that can be enhanced. CRs had an overall positive reaction to EI and its application to the core skills addressed in the program, highlighting the fact that similar programs could be used to train early career physicians to be more skilled and comfortable with leading, managing and mentoring.
CR: Chief resident; EI: Emotional intelligence; GME: Graduate medical education; OSTE: Objective structured teaching encounter.
住院总医师必须领导、管理和指导多元化且通常人数众多的住院医师群体，但在整个住院医师规范化培训阶段都缺乏正式的领导力培训。
开发一个由三部分组成的住院总医师（CR）培训计划，重点关注领导、管理和指导。
每位参与者在为期一天的活动前完成一份情商（EI）量表。参与者在项目开始时会收到他们的 EI 分数，项目的特色是关于领导力、管理和反馈技巧的互动环节。然后，该计划通过四个 OSTE（观察式结构化教学体验）站来加强他们对新的 EI 知识的应用。CR 们在模拟环境中练习反馈和辅导技能，他们需要向一名标准化的住院医师提供形成性反馈的背景。
所有参与者的平均预会议 EI 分数为 76.9（理想分数>85）。独立样本 t 检验比较了 CR 们在一个下午的单个会议内第一次和第二次 OSTE 表现的领导能力和反馈表现。第一次 OSTE 表现（M=47.92，SD=7.8）和第二次 OSTE 表现（M=51.22，SD=6.9）之间存在显著差异；t（68）=1.99，p=0.006。这些结果表明，参加多次 OSTE 会积极强化课程中的教学和互动部分所讨论的核心人际和沟通技能。
我们的参与者在预会议上的平均 EI 得分较低，这支持了住院总医师在进入新角色时具有可以提高的 EI 水平的观点。CR 们对 EI 及其在计划中解决的核心技能的应用总体上反应积极，这突出表明，类似的计划可以用于培训早期职业医师，使他们更熟练、更舒适地领导、管理和指导。
CR：住院总医师；EI：情商；GME：住院医师规范化培训；OSTE：观察式结构化教学体验。
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