Division of Hospital Medicine, University of Colorado, P.O. Box 6510, 12605 E. 16th Ave., Aurora, CO, 80045, USA.
Division of Hospital Medicine, University of California, San Francisco (UCSF), 450 Stanyan St, San Francisco, CA, 94117, USA.
J Gen Intern Med. 2023 Jun;38(8):1955-1961. doi: 10.1007/s11606-023-08089-4. Epub 2023 Mar 6.
This scoping review sought to identify and describe the state of academic faculty development programs in hospital medicine and other specialties. We reviewed faculty development content, structure, metrics of success including facilitators, barriers, and sustainability to create a framework and inform hospital medicine leadership and faculty development initiatives. We completed a systematic search of peer-reviewed literature and searched Ovid MEDLINE ALL (1946 to June 17, 2021) and Embase (via Elsevier, 1947 to June 17, 2021). Twenty-two studies were included in the final review, with wide heterogeneity in program design, program description, outcomes, and study design. Program design included a combination of didactics, workshops, and community or networking events; half of the studies included mentorship or coaching for faculty. Thirteen studies included program description and institutional experience without reported outcomes while eight studies included quantitative analysis and mixed methods results. Barriers to program success included limited time and support for faculty attendance, conflicting clinical commitments, and lack of mentor availability. Facilitators included allotted funding and time for faculty participation, formal mentoring and coaching opportunities, and a structured curriculum with focused skill development supporting faculty priorities. We identified heterogeneous historical studies addressing faculty development across highly variable program design, intervention, faculty targeted, and outcomes assessed. Common themes emerged, including the need for program structure and support, aligning areas of skill development with faculty values, and longitudinal mentoring/coaching. Programs require dedicated program leadership, support for faculty time and participation, curricula focused on skills development, and mentoring and sponsorship.
本范围综述旨在确定和描述医院医学和其他专业的学术教师发展计划的现状。我们回顾了教师发展的内容、结构、成功的衡量标准,包括促进者、障碍和可持续性,以创建一个框架,并为医院医学领导和教师发展计划提供信息。我们对同行评议文献进行了系统搜索,并在 Ovid MEDLINE ALL(1946 年至 2021 年 6 月 17 日)和 Embase(通过 Elsevier,1947 年至 2021 年 6 月 17 日)进行了搜索。最终综述纳入了 22 项研究,这些研究在项目设计、项目描述、结果和研究设计方面存在很大的异质性。项目设计包括教学、研讨会和社区或网络活动的组合;一半的研究为教师提供指导或辅导。13 项研究包括项目描述和机构经验,但没有报告结果,而 8 项研究包括定量分析和混合方法结果。项目成功的障碍包括教师参加的时间和支持有限、临床承诺冲突以及缺乏导师的可用性。促进因素包括为教师参与分配资金和时间、提供正式的指导和辅导机会以及具有重点技能发展的结构化课程,以支持教师的重点。我们确定了在高度可变的项目设计、干预、目标教师和评估结果方面存在的异质历史研究,这些研究涉及教师发展。出现了一些共同的主题,包括需要项目结构和支持、将技能发展领域与教师价值观保持一致,以及长期的指导/辅导。这些计划需要专门的项目领导、支持教师的时间和参与、以技能发展为重点的课程,以及指导和赞助。