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作为教师的住院医师:通过直接观察和反馈提高老年医学住院医师的教学技能

Fellows as teachers: enhancing geriatrics fellows' teaching skills through direct observation and feedback.

作者信息

Belland Laura, Rivero Gutierrez Ana Sofia, Fernandez Helen M, Ramaswamy Ravishankar

机构信息

Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Hospital Medicine, Martha's Vineyard Hospital, Oak Bluffs, Massachusetts, USA.

出版信息

Gerontol Geriatr Educ. 2024 Sep 8:1-13. doi: 10.1080/02701960.2024.2395275.

DOI:10.1080/02701960.2024.2395275
PMID:39244750
Abstract

Fellowship is a prime opportunity for sub-specialists to hone their teaching skills, however many fellowships lack formal teaching curricula. Existing curricula may not include supervision of fellows' teaching skills. We designed a Fellows as Teachers curriculum for geriatric medicine fellows that incorporates direct observation and feedback to improve their teaching skills. Based on a needs assessment, we implemented the program in the academic year 2021-2022 where fellows were observed in their teaching of third-year medical students. Fellows first participated in a Train the Trainer session, then were observed teaching a geriatrics skills session to medical students after which they received feedback from faculty and students. Fellows completed a survey rating the program's effectiveness in improving their teaching skills. Twenty fellows completed the needs assessment; the majority felt uncomfortable teaching a geriatrics assessment. Eighteen fellows taught at least one skills session; 36% found the program to be extremely helpful, 38% very helpful, and 28% somewhat helpful in improving their teaching skills. We successfully designed and implemented a Fellows as Teachers program consisting of a Train the Trainer session and formal observation with feedback for our geriatric medicine fellows. All fellows felt the curriculum was helpful in improving their teaching skills.

摘要

专科培训是亚专科医生磨练教学技能的绝佳机会,然而许多专科培训缺乏正式的教学课程。现有的课程可能不包括对住院医生教学技能的监督。我们为老年医学住院医生设计了一个“住院医生即教师”课程,该课程纳入了直接观察和反馈,以提高他们的教学技能。基于需求评估,我们在2021-2022学年实施了该项目,观察住院医生对三年级医学生的教学情况。住院医生首先参加了一个培训培训师课程,然后在给医学生教授老年医学技能课程时接受观察,之后他们收到了教师和学生的反馈。住院医生完成了一项调查,对该项目在提高他们教学技能方面的有效性进行评分。20名住院医生完成了需求评估;大多数人在教授老年医学评估时感到不自在。18名住院医生至少教授了一次技能课程;36%的人认为该项目非常有帮助,38%的人认为非常有帮助,28%的人认为在一定程度上有帮助。我们成功地设计并实施了一个“住院医生即教师”项目,该项目包括一个培训培训师课程以及对我们的老年医学住院医生进行有反馈的正式观察。所有住院医生都认为该课程有助于提高他们的教学技能。

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