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准备过渡到学术实践:研究生医学教育选修课程。

Preparing for the Transition to Academic Practice: A Graduate Medical Education Elective.

机构信息

is Associate Professor, Department of Medicine, Penn State College of Medicine, Hershey, Pennsylvania, USA.

is Associate Professor, Departments of Surgery and Humanities, Penn State College of Medicine, Hershey, Pennsylvania, USA.

出版信息

J Grad Med Educ. 2024 Aug;16(4):461-468. doi: 10.4300/JGME-D-24-00002.1. Epub 2024 Aug 15.

Abstract

Residents and fellows as educators (RFAE) programs typically focus on clinical teaching skills in single departments, which may not be sustainable for those with limited trainees or faculty. To determine the feasibility and value of a 2-week interdepartmental RFAE elective for advanced teaching skill development and transition to practice as clinician educators. Facilitated discussion, simulation, and critiqued peer presentations developed participants' skills in teaching, curriculum design, professional development, and scholarship. Assessments in this prospective intervention included 2 self-reported surveys addressing: (1) teaching process and motivation (Conceptions of Learning and Teaching [COLT]), and (2) skills and attitudes. We administered both surveys at baseline, immediate-post, and 3-month-post elective with data compared across time points using Kruskal-Wallis tests. Program evaluation comprised daily open-ended surveys on engagement and an end-of-course feedback survey. There were 79 participants from 2019 to 2023. Survey response rates were 84.8% (67 of 79) at baseline, 58.2% (46 of 79) immediate-post, and 51.9% (41 of 79) 3-month-post. Most participants were residents (89.9%, 71 of 79), female (60.8%, 48 of 79), from pediatrics and/or medicine departments (77.2%, 61 of 79), and in their final year of training (77.2%, 61 of 79). COLT factor orientation to professional practice scores increased in the immediate-post (3.3) compared to baseline (2.5) surveys (=.008). Teaching skills attitudes scores increased for all questions in 3-month-post compared to baseline surveys. In open-ended questions, participants emphasized the importance of professional development sessions in guiding their careers toward medical education. This interdepartmental elective was feasible, favorably received, and sustained over time, with observed changes in participants' teaching skills attitudes.

摘要

住院医师和研究员作为教育者(RFAE)计划通常侧重于单个部门的临床教学技能,对于那些受训者或教师人数有限的人来说,这种方法可能无法持续。为了确定为期两周的跨部门 RFAE 选修课程对于高级教学技能发展和向临床教育者过渡的可行性和价值。通过促进讨论、模拟和批评性同行演示,参与者的教学、课程设计、专业发展和学术技能得到了发展。这项前瞻性干预的评估包括 2 份自我报告的调查,分别涉及:(1)教学过程和动机(学习和教学观念 [COLT]),以及(2)技能和态度。我们在基线、即时后和选修后 3 个月进行了这两项调查,使用 Kruskal-Wallis 检验比较了各时间点的数据。课程评估包括每天关于参与度的开放式调查和课程结束时的反馈调查。2019 年至 2023 年期间有 79 名参与者。基线调查的应答率为 84.8%(79 人中的 67 人),即时后为 58.2%(79 人中的 46 人),3 个月后为 51.9%(79 人中的 41 人)。大多数参与者是住院医师(89.9%,71/79),女性(60.8%,48/79),来自儿科学和/或医学系(77.2%,61/79),并处于培训的最后一年(77.2%,61/79)。COLT 对专业实践的取向因子评分在即时后(3.3)与基线(2.5)调查相比有所增加(=0.008)。与基线调查相比,3 个月后所有问题的教学技能态度评分都有所提高。在开放式问题中,参与者强调了专业发展课程在引导他们的职业生涯走向医学教育方面的重要性。这个跨部门的选修课程是可行的,受到了欢迎,并随着时间的推移得到了维持,参与者的教学技能态度也发生了变化。

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