Abstract
This article was migrated. The article was not marked as recommended. PurposeUsing a systems-based approach for developing and implementing a residents as teachers (RaT) initiative follows the trend of systems thinking in health care and medical education, and assures positive outcomes and sustainability. This paper outlines the steps for a systematic, program-wide RaT initiative, using the University of British Columbia (UBC) as a case example. Project period was 2013-2015.Study DesignThe initiative team surveyed 65 of UBC's then 72 residency programs on their level of involvement and comprehensiveness in teaching residents to teach, which they used to create a 0-4 classification system. A six-topic RaT core curriculum was developed and train-the-trainer sessions were offered to build capacity within programs to customize and deliver the topics. An online scheduling system was used to schedule RaT sessions, track resident attendance, and disseminate evaluation surveys.ResultsA portion of the programs (n=21, 34%) were classified at Level 0, indicating few to no teaching competencies were taught. After the implementation of RaT in four programs, the majority of residents (n=61, 88%) indicated the overall quality of the educational experience was good or excellent. Most responses (n=2-93, 89-100%) agreed or strongly agreed that learning objectives were met for each RaT topic. ConclusionsImplementing a systems-based approach for RaT allows for centralized curriculum, administration, and evaluation, but also allows individual programs to have ownership and responsibility over curriculum adaptation, delivery methods, and faculty and resident engagement. Furthermore, the classification system provides a way to identify program needs and track improvements across all postgraduate residency training.
Highlights
Residents spend about a quarter of their time in a ‘near-peer teacher’ capacity, passing on their knowledge to junior learners, which enhances residents’ own learning (Morrison, Shapiro and Harthill, 2005; Whittaker Jr et al, 2006; Zabar et al, 2004)
Implementing a systems-based approach for residents as teachers (RaT) allows for centralized curriculum, administration, and evaluation, and allows individual programs to have ownership and responsibility over curriculum adaptation, delivery methods, and faculty and resident engagement
Literature Search The RaT initiative began by first understanding the literature on resident teaching and RaT programs
Summary
Residents spend about a quarter of their time in a ‘near-peer teacher’ capacity, passing on their knowledge to junior learners, which enhances residents’ own learning (Morrison, Shapiro and Harthill, 2005; Whittaker Jr et al, 2006; Zabar et al, 2004). Physicians must continue to be effective teachers in order to communicate with patients, work in teams, and share knowledge with the public, and are increasingly asked to take on the role of preceptor to medical students and residents. The importance of residents as teachers has been demonstrated in the Royal College of Physicians and Surgeons of Canada’s 2015 CanMEDS Physician Competency Framework, which outlines the various fundamental physician roles (Royal College of Physicians and Surgeons of Canada, 2015). The Scholar role states as its competency that physicians "teach students, residents, the public, and other health care professionals" (Royal College of Physicians and Surgeons of Canada, 2015). The Accreditation Council for Graduate Medical Education (2017) and the Liaison Committee on Membership Education (2010) require or support residents to be trained as teachers. Residency programs across Canada and the US have implemented various offerings to ensure that residents learn to be competent teachers
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
