Abstract
BackgroundChief residents receive minimal formal training in preparation for their administrative responsibilities. There is a lack of professional development programs specifically designed for chief residents.ObjectiveIn 2015, Academic Life in Emergency Medicine designed and implemented an annual, year-long, training program and virtual community of practice for chief residents in emergency medicine (EM). This study describes the curriculum design process and reports measures of learner engagement during the first two cycles of the curriculum.MethodsKern’s Six-Step Approach for curriculum development informed key decisions in the design and implementation of the Chief Resident Incubator. The resultant curriculum was created using constructivist social learning theory, with specific objectives that emphasized the needs for a virtual community of practice, longitudinal content delivery, mentorship for participants, and the facilitation of multicenter digital scholarship. The 12-month curriculum included 11 key administrative or professional development domains, delivered using a combination of digital communications platforms. Primary outcomes measures included markers of learner engagement with the online curriculum, recognized as modified Kirkpatrick Level One outcomes for digital learning.ResultsAn average of 206 chief residents annually enrolled in the first two years of the curriculum, with an overall participation by 33% (75/227) of the allopathic EM residency programs in the United States (U.S.). There was a high level of learner engagement, with an average 13,414 messages posted per year. There were also 42 small group teaching sessions held online, which included 39 faculty and 149 chief residents. The monthly e-newsletter had a 50.7% open rate. Digital scholarship totaled 23 online publications in two years, with 67 chief resident co-authors and 21 faculty co-authors.ConclusionsThe Chief Resident Incubator is a virtual community of practice that provides longitudinal training and mentorship for EM chief residents. This incubator conceptual framework may be used to design similar professional development curricula across various health professions using an online digital platform.
Highlights
In 2016, there were 10,119 residency training programs in the United States (U.S.) accredited by the Accreditation Council for Graduate Medical Education (ACGME)
There was a high level of learner engagement, with an average 13,414 messages posted per year
The Chief Resident Incubator is a virtual community of practice that provides longitudinal training and mentorship for emergency medicine (EM) chief residents
Summary
In 2016, there were 10,119 residency training programs in the United States (U.S.) accredited by the Accreditation Council for Graduate Medical Education (ACGME). Chief residents are often expected to manage resident clinical schedules, arrange didactic conference curricula, resolve conflicts among peers, and address issues of resident morale and wellness [2]. These job expectations must be fulfilled while advancing their own professional development and continued clinical training [4]. There is a lack of professional development programs designed for chief residents
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