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标题：Changing trends in residents-as-teachers across graduate medical education
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作者：Morhaf Al Achkar ; Mathew Hanauer ; Elizabeth H Morrison 等
期刊名称：Advances in Medical Education and Practice
电子版ISSN：1179-7258
出版年度：2017
卷号：8
页码：299-306
DOI：10.2147/AMEP.S127007
语种：English
出版社：Dove Medical Press Ltd
摘要：Background: Teaching residents how to teach is a critical part of residents’ training in graduate medical education (GME). The purpose of this study was to assess the change in resident-as-teacher (RaT) instruction in GME over the past 15 years in the US. Methods: We used a quantitative and qualitative survey of all program directors (PDs) across specialties. We compared our findings with a previous work from 2000–2001 that studied the same matter. Finally, we qualitatively analyzed PDs’ responses regarding the reasons for implementing and not implementing RaT instruction. Results: Two hundred and twenty-one PDs completed the survey, which yields a response rate of 12.6%. Over 80% of PDs implement RaT, an increase of 26.34% compared to 2000–2001. RaT instruction uses multiple methods with didactic lectures reported as the most common, followed by role playing in simulated environments, then observing and giving feedback. Residents giving feedback, clinical supervision, and bedside teaching were the top three targeted skills. Through our qualitative analysis we identified five main reasons for implementing RaT: teaching is part of the residents’ role; learners desire formal RaT training; regulatory bodies require RaT training; RaT improves residents’ education; and RaT prepares residents for their current and future roles. Conclusion: The use of RaT instruction has increased significantly in GME. More and more PDs are realizing its importance in the residents’ formative training experience. Future studies should examine the effectiveness of each method for RaT instruction.
关键词：resident as teachers; RaT; graduate medical education; GME; survey A letter to the editor has been received and published for this article