Digital practice spaces and clinical practice in teacher preparation: Current uses and future possibilities

This paper explores how the use of digital practice spaces (DPSs) can inform teacher preparation through a reimagining of clinical practice in teacher preparation by addressing the question: what roles might DPSs play in the ecology of apprenticeship opportunities for future educators? We leveraged AACTE’s Essential Proclamations and Tenets for Highly Effective Clinical Educator Preparation as an analytical framework to examine our own experiences using DPSs in our teacher education coursework. We discuss the alignment between these proclamations and the theoretical, conceptual, and practical underpinnings of DPSs. Finally, we consider the remaining proclamations that represent the horizons of DPSs within teacher preparation, a task we undertook as a set of informed provocations, envisioning how DPSs could be designed to support the proclamations not currently supported.

Book Review: International Practice Development in Health and Social Care (2nd Edition)

I was asked to review this book in my role as a clinical educator and novice practice developer. My introduction to practice development and person-centred practice came through the 2019 Inspire Improvement Fellowship, run by the Foundation of Nursing Studies, and through my work as a practice teacher for student specialist practitioner district nurses at Queen Margaret University, Edinburgh. My initial thoughts were how relatable this book is to me in practice. It is up to date, with references to Covid-19 and the WHO’s Year of the Nurse and Midwife 2020. The first part explores the theory of practice development and this follows through to later chapters where readers will find the application of theoretical ideas in practice. Practice development is explored at micro, meso and macro levels, supported by the book’s progression from smaller, ward-based projects to large system-based interventions. The evolution of practice development is also evident, moving from its origins within nursing to multidisciplinary and interagency approaches and contexts. I found it useful that chapters flowed through themes, with the final chapters focusing on leadership, workplace cultures and wellbeing, which are currently hot topics in the ever-changing landscape of health and social care. A wide range of references is helpfully used throughout to encourage more in-depth analysis and further reading.

Stress and Perfectionism in Communication Sciences and Disorders and Social Work Students

Purpose To further inform faculty and clinical educators interested in facilitating the overall well-being of their students, areas causing stress for undergraduate (UGs) and graduate (Gs) students in communication sciences and disorders (CSD) and in social work (SWK) were explored. The perceived stress levels as well as levels and types of perfectionism demonstrated by students, as well as the methods used to manage stress, were also explored. Method A survey of 193 CSD students (105 UGs and 88 Gs) and 137 SWK students (104 UGs and 33 Gs) from the same institution was conducted. The survey asked respondents to list their top 3 stressors, as well as the stress management practices in which they engaged, and to complete the Perceived Stress Scale and the Almost Perfect Scale–Revised. Results CSD UGs were the only group who indicated that the graduate school admission process was a major stressor; other stressors listed by UGs in CSD and SWK were similar. CSD Gs were the only group who listed clinic as stressful, and SWK Gs listed finances as a more prominent stressor than did CSD Gs. Stress management practices were primarily similar. No differences existed between UGs and Gs on measures of perceived stress and perfectionism. More CSD respondents demonstrated healthy aspects of perfectionism than did SWK respondents. CSD respondents' stress levels were lower overall than those of SWK respondents. Conclusions Similarities and differences existed between CSD and SWK respondents regarding stressors, stress management practices, perceived stress levels, and perfectionism. This information can provide faculty and clinical educator with insight regarding our students' overall well-being.

Perception of Undergraduate Physical Therapy Students of Dual Role of Clinical Educator As A Mentor or Assessor: Influence on The Teaching-Learning Relationship

Academics clinical education is significant backbone of physiotherapy professionals' schooling and it is express as vital components w h i c h m a k e s r e a d y p r o f e s s i o n a l s o f physiotherapy for experience in clinical set-up.Objective: To investigate understudies' view of how the dual role of CEs as mentor and evaluator affected T-L relationship.Methodology: Self-oriented questionnaire was used using the quantitative research approach. A crosssectional survey design was used in this study. Consenting undergraduate physiotherapy clinical students from university of Lahore, Pakistan who had clinical education for at least one year completed the questionnaire. Consecutive sampling was used to recruit samples of 225 understudies.Results: The difficulties were noticed when CE needed tobehave and acting as the two evaluator and guider to the necessity of understudies. They change their behavior. This affected the relationship of teaching and learning thus affected the studying of undergrad learners. Desires for understudies and CE were frequently not satisfied.Conclusions: Discoveries found out in investigation, based onthe perspectives or the encounters that understudies have of double job of their CEs, become featured. This situation become critical to think about difficulties which are faced by understudies so as to limit possible harmful impacts on understudies' studying environment caused by difficulties

What Academic Factors Influence Satisfaction With Clinical Practice in Nursing Students? Regressions vs. fsQCA

Clinical practices are considered one of the cornerstones in nurses' education. This study provides a framework to determine how factors in the academic environment, influence nursing student's satisfaction with their practices. A cross-sectional analytical study was conducted in a convenience sample of 574 nursing students at a private university in Valencia, during the 2016/2017 academic year, 79% (456) were women. Two statistical methodologies were used for data analysis: hierarchical regression models (HRM) and fuzzy sets qualitative comparative analysis (fsQCA). The HRM indicate that the students' mean score influences all dimensions of satisfaction. Furthermore, in the fsQCA, the type of service and center, as well as the type of management, the preference in the choice of the practice center and the number of students per period per clinical educator influence satisfaction with clinical practices. These results could be used to understand how academic factors influence nursing students' satisfaction with their clinical practices and to create intervention programmes that improve it. This will help prepare students to be the future nursing workforce.

Clinical educator self-efficacy, self-evaluation and its relationship with student evaluations of clinical teaching

Background In a whole-of-system approach to evaluation of teaching across any degree, multiple sources of information can help develop an educators’ understanding of their teaching quality. In the health professions, student evaluations of clinical teaching are commonplace. However, self-evaluation of teaching is less common, and exploration of clinical educators’ self-efficacy even less so. The aim of the study was to evaluate how a clinical educator’s self-evaluation of teaching intersects with their self-efficacy, to ascertain if that matches student evaluation of their teaching. This information may assist in facilitating targeted professional development to improve teaching quality. Methods Clinical educators in the osteopathy program at Victoria University (VU) were invited to complete: a) self-evaluation version of the Osteopathy Clinical Teaching Questionnaire (OCTQ); and b) the Self-Efficacy in Clinical Teaching (SECT) questionnaire. Students in the VU program completed the OCTQ for each of the clinical educators they worked with during semester 2, 2017. Results Completed OCTQ and SECT were received from 37 clinical educators. These were matched with 308 student evaluations (mean of 6 student ratings per educator). Three possible educator cohorts were identified: a) high clinical eductor self-OCTQ with low student evaluation; b) low clinical educator self-evaluation and high student evaluations; and, c) no difference between self- and student evaulations. Clinical educators in the first cohort demonstrated significantly higher SECT subscale scores (effect size > 0.42) than their colleagues. Age, gender, teaching qualification, and years practicing or years as a clinical educator were not associated with clinical educator OCTQ scores or the SECT subscales. Conclusions Targeted professional development directed towards fostering self-efficacy may provide an avenue for engaging those clinical educators whose self-efficacy is low and/or those who did not receive high student evaluations. Given there is no gold standard measure of clinical teaching quality, educators should engage with multiple sources of feedback to benchmark their current performance level, and identify opportunities to improve. Student and self-evaluations using the OCTQ and evaluation of self-efficacy using the SECT, are useful tools for inclusion in a whole-of-system approach to evaluation of the clinical learning environment.

138. Creation of a Clinical Educator Elective for ID Fellows

Background While fellows are expected to educate residents and students, they often receive limited formal instruction on how to teach. To address this, we developed a 2–4 week Clinical Educator Elective (CEE) for senior ID fellows. Goals were to increase fellow teaching engagement and promote excellence in medical education by improving understanding of adult learning theory and application to medical education. Methods Curriculum development: Methodology used Kern’s 6 step approach. A targeted needs assessment was obtained from CEE fellows at the start of the block. A reading list was created from key areas (table). Instructional methods included flipped classroom, learner-led discussions, and exercises in evaluation and feedback of peer and faculty teaching. Fellows completed a required capstone educational project. Learner Assessment: Standardized peer and faculty feedback surveys of fellow teaching were used. Program Assessment: CEE narrative assessments were evaluated. Anonymous pre- and post-CEE self-assessment fellow surveys rating their confidence in knowledge and skills in clinical education on a 1–10 scale (1 lowest, 10 highest) were compared. Post-CEE fellows’ medical student (MS3) teaching was compared to a 4-year pre-CEE historical cohort (PCHC). Results From 2017–9, 7 of 11 (64%) senior ID fellows completed the CEE. 5 (71%) were male, 3 started fellowship post-residency, 3 were chief residents, and 1 was an internist for 2 years. They had a median of 10 hours of prior faculty development (IQR 1–26). Career goals included GME in 6 of 7 pre-CEE. Narrative assessments revealed fellows highly valued the CEE. 6 available post-rotation surveys showed increased confidence in knowledge of adult learning theory, characteristics of effective educators, and fellows’ ability to teach across a range of settings (table). 5 of 7 CEE fellows precepted MS3s compared to 1 of 8 fellows in the PCHC (p=.04). CEE and PCHC fellows won 7 and 2 teaching awards, respectively. Fellows’ confidence in knowledge and skills of various aspects of medical education before and after the clinical educator elective Conclusion A CEE was highly valued and improved fellow self-assessed knowledge and skills in clinical teaching, even in those with prior teaching experience. It was also associated with more MS3 teaching. Future evaluations of long-term retention in academic medicine and teaching performance can further examine this approach. Disclosures All Authors: No reported disclosures