Exploring Teaching Perspectives: A Comparative Analysis of Physician Tutors in Small-Group Tutorials (SGT) and Clinical Shadowing (CS) Settings

Chun-Ta Huang ； Chih-Wei Yang ； Yen-Lin Chiu ； Chia-Ter Chao ； Mong-Wei Lin ； Chao-Chi Ho ； Bor-Ching Sheu ； Chiun Hsu ； Chiao-Ling Tsai

《Journal of Medical Education》 27卷4期 (2023/12) Pp. 258-268

https://doi.org/10.6145/jme.202312_27(4).0005

摘要

Background: Following educational reforms, the National Taiwan University College of Medicine (NTUCM) has integrated Problem-Based Learning (PBL) with the Small-Group Tutorial (SGT) approach to enrich medical education. For allowing students to observe and learn from physicians in various clinical settings, the reform complemented by clinical shadowing (CS) activities. The Teaching Perspectives Inventory (TPI), a reflective tool for educators, identifies five distinct perspectives on teaching. This study examines the teaching perspectives of SGT and CS tutors at NTUCM and explores the implications for educational practice. Methods: This study was conducted during the academic years of 2022 and 2023. The TPI scores were collected and analyzed, focusing on identifying dominant and recessive perspectives and correlating them with academic disciplines and specialty backgrounds. Results: A total of 275 physician tutors from the NTUH healthcare system participated in this study, with 141 from SGT and 134 from CS. TPI scores exhibited a normal distribution with high reliability. CS tutors scored significantly higher in the apprenticeship perspective compared to SGT tutors. The most common dominant teaching perspective among SGT tutors was nurturing, whereas apprenticeship was most prevalent among CS tutors. Transmission was the most common recessive perspective for both groups. Conclusions: The study highlights significant differences in teaching perspectives between SGT and CS tutors, with implications for tailoring faculty development programs. The nurturing perspective is dominant among SGT tutors, suggesting a focus on supportive learning environments, while CS tutors lean towards an apprenticeship prototype, emphasizing role modeling.

關鍵字

medical education ； small-group tutorial ； clinical shadowing ； teaching perspectives inventory ； educational reform

參考文獻

Tsai SL, Tseng FY, Chu TS, et al.: Cultural considerations of reform and evolution of medical education. J Med Educ 2017; 21: 137-47. DOI:10.6145/jme201715

Tsai CL, YL Chiu, CT Chao, et al.: Effectiveness of tutor shadowing on faculty development in problem-based learning. BMC Med Educ 2022; 22: 564. DOI:10.1186/s12909-022-03615-0

Kitsis EA: Shining a light on shadowing. JAMA 2011; 305: 1029-30. DOI:10.1001/jama.2011.267

Sandars J: The use of reflection in medical education: AMEE Guide No. 44. Med Teach 2009; 31: 685-95. DOI:10.1080/01421590903050374

Polit DF, Beck CT: The content validity index: Are you sure you know what's being reported? Critique and recommendations. Res Nurs Health 2006; 29: 489-97. DOI:10.1002/nur.20147