Strouse Jennifer, Rowat Jane, Sanders M Lee, Antes Lisa, Suneja Manish
Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Clin Teach. 2025 Feb;22(1):e70015. doi: 10.1111/tct.70015.
Most postgraduate medical education tracks are faculty-led and emphasise teaching skills. A peer-to-peer medical education track focused on curriculum development and scholarship is notably underrepresented in the literature, especially within graduate medical education. To address these gaps, a 2-year Distinction in Medical Education (DIME) track was developed. The aim of this report was to (1) describe the inception and structure of the DIME track, (2) assess the effectiveness of a peer-to-peer instructional model and (3) evaluate the track's success in generating scholarly work in medical education.
Residents engage in structured workshops using a flipped classroom approach. Interactive sessions utilising Kern's Curriculum allow first-year DIME participants to learn principles of curricular development. As residents transition into their second year, they are responsible for facilitating and leading curricular development workshops, transforming from learners to teachers. Each participant also designs and executes a scholarly project focused on medical education with longitudinal mentorship.
Since 2020, five cohorts (n = 20) have participated in the DIME track. We evaluated the program using a mixed-methods approach. Quantitative analysis showed that 10 resident-led projects were integrated into undergraduate medical education and seven into graduate medical education curricula. Qualitative feedback from surveys and focus groups identified key themes, emphasising the value of the program's core components.
DIME's success goes beyond teaching skills; it involves learning and teaching the principles of curricular development to peers as well as applying principles of curricular development to tangible scholarly projects. The track's focus on educational scholarship is a measurable outcome.
大多数研究生医学教育课程由教师主导,强调教学技能。在文献中,尤其是在研究生医学教育领域,以课程开发和学术研究为重点的同伴互助医学教育课程明显较少。为了填补这些空白,我们开发了一个为期两年的医学教育卓越课程(DIME)。本报告的目的是:(1)描述DIME课程的创立和结构;(2)评估同伴互助教学模式的有效性;(3)评估该课程在医学教育领域产生学术成果方面的成功程度。
住院医师采用翻转课堂的方式参加结构化工作坊。利用克恩课程的互动环节让DIME课程的一年级参与者学习课程开发原则。随着住院医师进入第二年,他们负责推动和主持课程开发工作坊,从学习者转变为教师。每位参与者还在长期指导下设计并执行一个专注于医学教育的学术项目。
自2020年以来,已有五个 cohort(n = 20)参加了DIME课程。我们采用混合方法对该项目进行评估。定量分析表明,有10个由住院医师主导的项目被纳入本科医学教育,7个被纳入研究生医学教育课程。来自调查和焦点小组的定性反馈确定了关键主题,强调了该项目核心组成部分的价值。
DIME课程的成功不仅体现在教学技能方面;它还包括向同伴学习和教授课程开发原则,以及将课程开发原则应用于切实的学术项目。该课程对教育学术研究的关注是一个可衡量的成果。