Evaluating Residents-as-teachers Programs: Challenges and Lessons Learned

Jen-Feng Liang ； Geeta Singhal ； Ying-Ying Yang ； Chen-Huan Chen

《Journal of Medical Education》 25卷3期 (2021/09) Pp. 99-102

https://doi.org/10.6145/jme.202109_25(3).0003

摘要

Residents-as-teachers (RaT) programs are believed to offer benefits in enabling residents to become more effective teachers. However, these programs are quite resource-intensive; therefore, it is critical to understand the effectiveness of these programs. Evaluating RaT programs is challenging and requires special consideration because residents play dual roles as clinical teachers and trainees. The program evaluation is a trade-off between the participation of busy residents and the reliability of the data. In addition, the beneficial effects on residents themselves as well as their institutions are typically not considered in effectiveness evaluations. In this article, we share our experience in evaluating our RaT program by utilizing Kirkpatrick's hierarchy and offer lessons learned and strategies for success. We suggest that leaders of these programs build a robust evaluation plan prior to delivering the instructions to confidently validate the effectiveness of RaT programs.

關鍵字

residents-as-teachers ； kirkpatrick levels ； program evaluation

參考文獻

Ramani S, Mann K, Taylor D, et al.: Residents as teachers: Near peer learning in clinical work settings: AMEE Guide No. 106. Med Teach. 2016;38:642-655.

Bree KK, Whicker SA, Fromme HB, et al.: Residents-as-teachers publications: What can programs learn from the literature when starting a new or refining an established curriculum? J Grad Med Educ. 2014;6:237-248.

McKeon BA, Ricciotti HA, Sandora TJ, et al.: A Consensus Guideline to Support Resident-as-Teacher Programs and Enhance the Culture of Teaching and Learning. J Grad Med Educ. 2019;11:313-318.

Al Achkar M, Hanauer M, Morrison EH, et al.: Changing trends in residents-as-teachers across graduate medical education. Adv Med Educ Pract. 2017;8:299-306.

Liang JF, Chen CH, Cheng HM, et al.: A three-year longitudinal milestone-based “Residents as Teachers” Program: Experience from the first two years. Presented in 4Q1: Postgraduate: Junior Doctor as Teacher. Proceedings of AMEE 2018; 2018 Aug 25–29; Basel, Switzerland. Available from https://www.amee.org/getattachment/Conferences/AMEE-Past-Conferences/AMEE-2018/AMEE-2018-Abstract-Book.pdf