scholarly journals Team up! Linking teamwork effectiveness of clinical teaching teams to residents’ experienced learning climate

2019 ◽  
Vol 41 (12) ◽  
pp. 1392-1398
Author(s):  
Iris Jansen ◽  
Milou E. W. M. Silkens ◽  
Renée E. Stalmeijer ◽  
Kiki M. J. M. H. Lombarts
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
L. Bank ◽  
M. Jippes ◽  
T. R. van Rossum ◽  
C. den Rooyen ◽  
A. J. J. A. Scherpbier ◽  
...  

Abstract Background In postgraduate medical education, program directors are in the lead of educational change within clinical teaching teams. As change is part of a social process, it is important to not only focus on the program director but take their other team members into account. The purpose of this study is to provide an in-depth insight into how clinical teaching teams manage and organize curriculum change processes, and implement curriculum change in daily practice. Methods An explorative qualitative semi-structured interview study was conducted between October 2016 and March 2017. A total of six clinical teaching teams (n = 6) participated in this study, i.e. one program director, one clinical staff member, and one trainee from each clinical teaching team (n = 18). Data were analysed and structured by means of thematic analysis. Results The analysis yielded to five factors that positively impact change: shared commitment, reinvention, ownership, supportive structure and open culture. Factors that negatively impact change were: resistance, behaviour change, balance between different tasks, lack of involvement, lack of consensus, and unsafe culture and hierarchy. Overall, no clear change strategy could be recognized. Conclusions Insight was gathered in factors facilitating and hindering the implementation of change. It seems particularly important for clinical teaching teams to be able to create a sense of ownership among all team members by making a proposed change valuable for their local context as well as to be capable of working together as a team. Cultural factors seem to be particularly relevant in a team’s ability to accomplish this.


2019 ◽  
Vol 35 (6) ◽  
Author(s):  
Muhammad Faheem Afzal ◽  
Abrar Ashraf Ali ◽  
Asif Hanif

Objective: To assess the clinical teaching skills of Pediatrics’ residents as rated by final year MBBS students by using augmented Stanford Faculty Development Program questionnaire (SFDPQ) in a teaching hospital, Lahore. Methods: This cross- sectional survey was conducted in the Department of Pediatrics, King Edward Medical University, Lahore in six months in 2016. Total of 265 students of final year MBBS, attending the teaching sessions organized by residents during their four weeks rotation in Pediatrics were included by non-probability purposive sampling. The augmented SFDPQ was emailed to the study participants after the completion of the clinical rotation, following several encounters with the resident. The data was entered in SPSS 22 for statistical analysis. Scores for each domain (learning climate, control of session, communication of goals, promoting understanding and retention, evaluation, promoting self-directed learning, teacher’s knowledge and teacher’s attitude) were also presented as mean and standard deviation. One-sample Kolmogorov-Smirnov test was applied to observe the normality of data. Where normality of data was observed, independent sample t-test was applied and where normality of data was not observed, Mann-Whitney U test was applied to compare the score between genders. Score of four was considered as cut off score for satisfactory results. Results: Out of 265 students, 250 responded with response rate of 94.3%. Out of 250 medical students, 105 (42.0%) were male and 145(58.0%) were female. The internal consistency (Cronbach’s alpha) of this score was excellent (0.973). The mean score for all SFDPQ domains was also sub-optimal (2.90±0.611). The mean total score was sub-optimal for learning climate (3.39±0.69), control of session (3.25±0.77), communication of goals (3.26±0.86), promoting understanding and retention (3.26±0.77), evaluation (2.25±0.67), promoting self-directed learning (3.17±0.90), teacher’s knowledge (3.14±0.93) and teacher’s attitude (3.31±0.89), while it was good only for feedback (4.03±0.11). The mean total score for all SFDPQ domains in males and females was 3.05±0.54 and 2.79±0.64 respectively. Although sub-optimal in both the genders, the score was significantly higher in males with p-value 0.001. Conclusion: We found suboptimal clinical teaching skills of Pediatrics’ residents as rated by final year MBBS medical students. doi: https://doi.org/10.12669/pjms.35.6.830 How to cite this:Afzal MF, Ali AA, Hanif A. Performance of Pediatrics’ residents as clinical teachers: A student-based assessment. Pak J Med Sci. 2019;35(6):1499-1504. doi: https://doi.org/10.12669/pjms.35.6.830 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2019 ◽  
Vol 94 (3) ◽  
pp. 419-426 ◽  
Author(s):  
Alina Smirnova ◽  
Onyebuchi A. Arah ◽  
Renée E. Stalmeijer ◽  
Kiki M.J.M.H. Lombarts ◽  
Cees P.M. van der Vleuten

Author(s):  
Lindsay Bank ◽  
Mariëlle Jippes ◽  
Jimmie Leppink ◽  
Albert Scherpbier ◽  
Corry Den Rooyen ◽  
...  

2017 ◽  
Vol Volume 8 ◽  
pp. 807-815 ◽  
Author(s):  
Lindsay Bank ◽  
Mariëlle Jippes ◽  
Jimmie Leppink ◽  
Albert JJA Scherpbier ◽  
Corry den Rooyen ◽  
...  

Author(s):  
Lindsay Bank ◽  
Mariëlle Jippes ◽  
Scheltus van Luijk ◽  
Corry den Rooyen ◽  
Albert Scherpbier ◽  
...  

2020 ◽  
Vol 27 (11) ◽  
pp. 2529-2536
Author(s):  
Gulmina Saeed Orakzai ◽  
Ahsan Sethi ◽  
Gideon Victor ◽  
Hira Shireen Aamir

Objectives: To assess the clinical supervisors’ performance in the workplace as perceived by themselves and their trainees to determine their educational needs. Study Design: Multisite Descriptive Cross-sectional. Setting: Department of Medicine, Surgery and Dentistry at Nine Public and Private Teaching Hospitals of Rawalpindi/Islamabad. Period: 1st March 2018 till 31st January 2019. Material & Methods: Data were collected from clinical supervisors and their trainees using modified Maastricht Clinical Teaching Questionnaire (mMCTQ) to assess clinical supervisors’ modelling, coaching, scaffolding, articulation, Reflection, exploration, and learning climate for trainees’ clinical practice. Descriptive and inferential statistics were calculated using SPSS v.23. Results: A total of 37 supervisors and 135 trainees participated in the study. The overall agreement was low on observing multiple trainee-patient encounters (Mean=3.64±1.17; 3.24±1.10), delivering effective feedback (Mean=3.89±0.91; 3.60±1.04), discussing rationale for trainees’ actions (Mean=3.92±0.69; 3.65±0.97) and consistently demonstrating clinical tasks (Mean=3.97±0.87; 3.46±0.79). The trainees significantly (p<0.05) differed from their supervisors’ perceptions in their supervisors’ abilities to help them become aware of the gaps in their knowledge and skills, ask and also encourage questions, and adjust teaching activities to reach the trainees level of experience. Conclusion: The study highlighted multiple issues with supervision regarding observation of trainee-patient encounters, deliver effective feedback, and demonstrate clinical tasks. The agreement of trainees on their supervisors’ educational abilities is lower than that of supervisors. There is a need for structured training with protected time for clinical supervision.


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