Willner Keith, Reed-Schrader Essie, Mohney Stephen
Geisinger Wyoming Valley Medical Center, Department of Emergency Medicine, Wilkes-Barre, PA.
J Educ Teach Emerg Med. 2022 Jul 15;7(3):C1-C41. doi: 10.21980/J87D2N. eCollection 2022 Jul.
This curriculum is designed for emergency medicine attendings in varying years of community practice to prepare them for Emergency Medicine (EM) residents.
15 months.
Emergency medicine is a growing field with new residencies approved every year. A strong, competent cadre of clinical educators is essential to the success of any residency, and new programs have the challenge of developing their clinical faculty into outstanding teachers. There is minimal literature guidance for navigating this transition. Our site is a community tertiary care center in the process of applying for an EM residency. We focus on our experience designing a faculty development curriculum to accommodate the needs of a diverse group of physicians in all stages of their careers. We will demonstrate that a curriculum satisfying all stakeholders can easily be implemented in a way that allows for robust participation without excessive additional administrative burden.
Our goal is to prepare community-based EM attendings to be outstanding educators to future residents by augmenting their knowledge of current educational practice and adult learning theory, literature review, and biostatistics.
The educational strategies used in this curriculum included lectures, guided discussion, small group discussion, and asynchronous learning.
This curriculum was implemented in the Geisinger Wyoming Valley Medical center targeted at staff physicians. This educational study was deemed exempt by the institutional review board (IRB). We electronically collected retrospective survey data using a 5-point Likert scale as well as free text responses. The primary measure was agreement with the statement, "Faculty development time makes me feel more prepared to be a clinical educator." We also surveyed whether this was felt to be an appropriate use of time, self-reported growth in key educational and biostatistical domains, and likeliness to change practice based on the material.
Responses collected from core faculty after the sessions indicated a uniformly positive review of the series itself with the primary outcome receiving a 4.6 rating on a 5-point Likert scale (strong agreement). Faculty reported that these brief sessions improved the quality of the departmental staff meetings (average rating 4.7/5). Journal club sessions were rated as positive (4.7/5) and attendees self-reported growth in statistical literacy and security in clinical practice.
We demonstrated successful implementation of a faculty development curriculum that was favorably assessed by all key stakeholders. Faculty self-reported growth in all educational and clinical domains evaluated. It was successfully implemented without substantially increasing the time burden for physicians with robust clinical and administrative schedules. We feel this is generalizable to other sites seeking to start an EM residency and is useful for sites with existing residencies to efficiently deliver content to junior faculty.
Emergency medicine, faculty development, journal club, virtual learning.
本课程专为处于不同社区实践年限的急诊医学主治医师设计,旨在使他们能够胜任急诊医学住院医师培训工作。
15个月。
急诊医学是一个不断发展的领域,每年都有新的住院医师培训项目获批。一支强大、称职的临床教育工作者队伍对于任何住院医师培训项目的成功至关重要,而新的项目面临着将其临床教员培养成优秀教师的挑战。关于如何应对这一转变的文献指导很少。我们的机构是一家正在申请急诊医学住院医师培训项目的社区三级医疗中心。我们专注于分享我们设计教员发展课程的经验,以满足处于职业生涯各个阶段的不同医生群体的需求。我们将证明,一个能让所有利益相关者都满意的课程可以轻松实施,既能让大家积极参与,又不会带来过多额外的管理负担。
我们的目标是通过增加社区急诊医学主治医师对当前教育实践和成人学习理论、文献综述以及生物统计学的了解,使他们成为未来住院医师的优秀教育者。
本课程采用的教育策略包括讲座、引导式讨论、小组讨论和异步学习。
本课程在盖辛格怀俄明谷医疗中心针对在职医师实施。这项教育研究被机构审查委员会(IRB)认定为豁免研究。我们通过电子方式收集回顾性调查数据,采用5分李克特量表以及自由文本回复。主要衡量指标是对“教员发展时间让我更有准备成为一名临床教育者”这一陈述的认同度。我们还调查了大家是否认为这是对时间的合理利用、在关键教育和生物统计学领域的自我报告成长情况,以及基于所学内容改变实践的可能性。
课程结束后从核心教员那里收集到的反馈表明,大家对整个系列课程评价一致积极,主要结果在5分李克特量表上获得了4.6的评分(强烈认同)。教员们表示,这些简短的课程提高了科室员工会议的质量(平均评分4.7/5)。期刊俱乐部课程也得到了积极评价(4.7/5),参与者自我报告在统计素养和临床实践信心方面有所成长。
我们展示了一个教员发展课程的成功实施,所有关键利益相关者都对其给予了好评。教员们在所有评估的教育和临床领域都自我报告有成长。该课程成功实施,且没有大幅增加临床和行政工作繁忙的医生的时间负担。我们认为这一模式可推广到其他寻求开展急诊医学住院医师培训项目的机构,对于已有住院医师培训项目的机构而言,也有助于高效地向初级教员传授相关内容。
急诊医学、教员发展、期刊俱乐部、虚拟学习。