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住院医师作为跨专业教育内外的学习促进者:研究生儿科培训中的教师发展项目

Residents as learning facilitators inside and outside of interprofessional education: a faculty development program in postgraduate pediatric training.

作者信息

Müller Philipp A, Straub Christine, Heinzmann Andrea, Langer Thorsten, Bode Sebastian F N, Griewatz Jan, Kimmig Christian, Friedrich Sebastian

机构信息

Department of General Pediatrics, Adolescent Medicine and Neonatology, Medical Centre, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Department of Neuropediatrics and Muscle Disorders, Medical Centre, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

出版信息

Front Med (Lausanne). 2025 Feb 6;12:1491177. doi: 10.3389/fmed.2025.1491177. eCollection 2025.

Abstract

INTRODUCTION

Changing learning environments in health professions are an important challenge of interprofessional education (IPE). When students experience IPE activities during their undergraduate training, they are often guided by trained learning facilitators. Students still spend more time in non-IPE settings, often guided by residents. Residents rarely undergo specific training for core teaching competencies that are crucial in both IPE and non-IPE contexts. At our pediatric hospital, some residents were trained as learning facilitators on an interprofessional training ward. To bridge the gap between IPE and non-IPE learning facilitation for the other residents, we developed the resident-as-teachers course "How to teach pediatrics."

METHODS

"How to teach pediatrics" was implemented as a 4-week blended learning program based on the framework of Core Competencies for Medical Teachers (KLM). The intended learning outcomes were to reflect on residents' role modelling and professionalism as well as personal teaching practice, emphasize learner centeredness and foster social and communicative competencies. Participants self-assessed their teaching competencies pre/post-course using a validated questionnaire (FKM_L). Oral feedback was gathered by group reflection and qualitative feedback by open-ended survey questions.

RESULTS

26 residents participated in the course, of which  = 22 qualified for the pre/post-course self-assessment via the FKM_L (return rate:  = 9; 40.9%). Participants reported an increase in the competency fields of "didactical activities in medicine," "social and communicative competence," "role model and professional behavior" as well as "reflection and further development of own teaching practice." Participants evaluated the course overall as "very good," stated a high learning gain and estimated the course to be a good preparation for teaching students.

DISCUSSION

"How to teach pediatrics" shows the feasibility of integrating faculty development as part of resident training. We observed a self-assessed increase in core competencies for medical teachers after participating in the course. Although more participants need to be included and long-lasting effects still need to be proven, such faculty development programs for learning facilitators might be an opportunity to ensure a more consistent and high-quality learning experience for students in both IPE and non-IPE teaching and learning activities.

摘要

引言

卫生专业不断变化的学习环境是跨专业教育(IPE)面临的一项重大挑战。当学生在本科培训期间参与跨专业教育活动时,他们通常由经过培训的学习促进者指导。学生仍有更多时间处于非跨专业教育环境中,通常由住院医师指导。住院医师很少接受针对在跨专业教育和非跨专业教育环境中都至关重要的核心教学能力的特定培训。在我们的儿科医院,一些住院医师在跨专业培训病房接受了学习促进者培训。为了弥合其他住院医师在跨专业教育和非跨专业教育学习促进方面的差距,我们开发了“如何教授儿科学”这一住院医师即教师课程。

方法

“如何教授儿科学”作为一个基于医学教师核心能力(KLM)框架的为期4周的混合式学习项目实施。预期的学习成果是反思住院医师的角色示范和专业精神以及个人教学实践,强调以学习者为中心并培养社交和沟通能力。参与者在课程前后使用经过验证的问卷(FKM_L)对自己的教学能力进行自我评估。通过小组反思收集口头反馈,并通过开放式调查问题收集定性反馈。

结果

26名住院医师参加了该课程,其中22名通过FKM_L有资格进行课程前后的自我评估(回复率:9/22;40.9%)。参与者报告在“医学教学活动”、“社交和沟通能力”、“角色示范和职业行为”以及“对自身教学实践的反思和进一步发展”等能力领域有所提高。参与者总体上对该课程评价为“非常好”,表示学习收获很大,并估计该课程为教授学生做好了充分准备。

讨论

“如何教授儿科学”表明将教师发展纳入住院医师培训的可行性。我们观察到参与课程后医学教师的核心能力有自我评估的提高。尽管需要纳入更多参与者且长期效果仍需证明,但此类针对学习促进者的教师发展项目可能是一个机会,以确保学生在跨专业教育和非跨专业教育教学活动中获得更一致和高质量的学习体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c83/11839824/807a3c129881/fmed-12-1491177-g001.jpg

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