Residents as Teachers Guide to Planning and Implementing a Program

 
Recommendations Developed by the National Special Interest Group for Residents’ Teaching Skills, Group on Educational Affairs, Association of American Medical Colleges, at the National Meeting, Washington, D.C., November, 1995.  This is currently the Residents’ Teaching Skills Project Group of the National GEA/GME Section. 
I. IN PREPARATION 
      A. Seek the commitment of others to increasing the awareness of the importance of 
          residents as teachers 
      B.  Obtain or offer administrative support 
      C.  Reflect upon/use your own teaching skills and Faculty Development Programs 
      D.  Learn about the context and the environment in which your residents' teach
      E.  Identify individuals who are interested and willing to help(Faculty, Chief Residents,
           Program or Clerkship Directors, Deans, etc.)  
      F.  Learn what others have done(Bibliography, Resources, colleagues)  
      G.  Identify recognized problems in the residents' current teaching
 
II.  PLANNING 
      A.  Discuss specific needs with residents, chief residents and faculty
      B.  Use their ideas and get them involved  
      C.  Be flexible and tailor your program to specific needs
      D.  Structure
            1.  Who - residents
                  a.  Single vs. multiple discipline  
                  b.  Single vs. multiple levels of training  
            2.  Who - teachers
                  a.  You and other members of the faculty
                  b.  Faculty from other departments
                  c.  Chief residents
                  d.  Can use medical students for feedback
            3.  When  
                  a.  One or two long sessions
                  b.  Multiple short sessions
            4.  Where(away from immediate clinical setting)  
                  a.  Off campus
                  b.  Medical school or academic office
                  c.  Hospital(s)  
 
III.  CONTENT AND DESIGN
      A.  Essentials
            1.  Food  
            2.  Coverage
      B.  Content-See Table I  
            1.  Fundamental teaching concepts and skills
            2.  Department/specialty specific
      C.  Format  
            1.  Annual one-time meeting  
            2.  Spread throughout year
            3.  Strategies - see Table II 
 
IV.  EVALUATION
      A.  Student evaluations, before and after
      B.  Resident self-evaluations
      C.  Faculty evaluations  
      D.  Outcome studies  
      E.  Fix a problem identified in I.G. above, and make it clear you did
      F.  Ongoing reflection on teaching with feedback
 
Compiled by Linda S. Snell, M.D.. with revisions/additions by Joan A. Friedland, M.D., M.P.H.
 

TABLE II  

TEACHING STRATEGIES  
 

1.  Interactive small group conferences  

      A.  Sub-grouping(such as "buzz-games")
2.  One-on-one observation with evaluation/feedback  
      A.  at bedside, in clinic  
      B.  role play  
3.  Videotape  
      A.  live  
      B.  role play  
      C.  resource tapes  
4.  Prepared teaching scenarios  
5.  Didactic presentations  
6.  Combinations of above-to constitute a session, workshop or retreat  
 

TABLE I

CONCEPTS AND SKILLS

CONTENT SUGGESTIONS

TEACHING SKILLS DEVELOPMENT
  

1.  Adult learning concepts, modeling  
2.  Orientation  
3.  Feedback  
4.  Student Evaluation  
5.  Teaching one-on-one  
6.  Teaching procedures 
7.  Teaching on rounds  
8.  Bedside Teaching  
9.  Clinic Teaching  
10.  Teaching with time constraints  
11.  Talks and presentations  
12.  Independent (Self-directed) learning  
13.  Motivating Students  
14.  The problem student 

MANAGEMENT AND TEAM WORK
 

1.  Team Skills, conflict resolution  
2.  Interactions-peers, consultants  
3.  Time management/structure of workday  
4.  Education Management  
5.  Individual case management  
6.  Support/supervisory structure  
 

PERSONAL AND INTERPERSONAL PROFESSIONAL GROWTH
 

1.  Introduction to psychology of Internship/Residency  
2.  Uncertainty/Responsibility/Errors  
3.  Dealing with death and dying  
4.  Personal/Family Life  
5.  Stress Awareness/Reduction  
6.  Substance abuse/Impaired physician
7.   Cultural differences/needs-patients, peers and others  
8.  The difficult patient


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