van Heerden Carolyn, Uahwatanasakul Wonie, Vaughan Brett, Delany Clare
Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
Department of General Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2020 Jul;56(7):1072-1076. doi: 10.1111/jpc.14819. Epub 2020 Feb 26.
Bedside teaching performed by experienced clinicians is an expected component of medical student training. As clinicians often have high clinical demands and a lack of formal training in teaching methods, clinical teaching fellowships have been established. In clinical teaching fellowships, clinicians with an interest and expertise in medical education provide medical students with standardised teaching. Studies about the impact of clinical teaching fellowships have demonstrated benefits for both clinical teaching fellows (CTFs) and medical students. However, studies have not evaluated the impact of these fellowships on other clinicians or learning relationships within the institution. In this study, we aimed to address this gap by gathering data on the perspectives of CTFs, medical students and hospital consultants.
A mixed-method design was used, utilising a combination of surveys for CTFs, medical students and hospital consultants and semi-structured telephone interviews for CTFs. Quantitative and qualitative data were obtained.
The combination of data from CTFs, medical students and consultants enabled a more comprehensive understanding of the impact of the CTF programme within the institution. Although benefits were identified for CTFs and medical students, the consultant group noted that they were less involved in teaching medical students and that the CTFs were not well integrated into the ward team.
This research highlights the importance of considering not only direct outcomes of teaching and learning but broader influences on more implicit teaching opportunities and relationships within hospital teams.
由经验丰富的临床医生进行床边教学是医学生培训的预期组成部分。由于临床医生通常临床工作要求高且缺乏教学方法的正规培训，因此设立了临床教学奖学金。在临床教学奖学金项目中，对医学教育有兴趣和专长的临床医生为医学生提供标准化教学。关于临床教学奖学金影响的研究已证明对临床教学研究员（CTF）和医学生都有好处。然而，研究尚未评估这些奖学金项目对其他临床医生或机构内学习关系的影响。在本研究中，我们旨在通过收集CTF、医学生和医院顾问的观点数据来填补这一空白。
采用混合方法设计，对CTF、医学生和医院顾问进行调查，并对CTF进行半结构化电话访谈。获取了定量和定性数据。
来自CTF、医学生和顾问的数据相结合，使我们能够更全面地了解CTF项目在机构内的影响。虽然已确定对CTF和医学生有好处，但顾问组指出他们较少参与医学生教学，且CTF未很好地融入病房团队。
本研究强调了不仅要考虑教学的直接成果，还要考虑对医院团队内更隐性教学机会和关系的更广泛影响的重要性。
