Clinician educators

  • 文章类型: Journal Article
    目标:随着临床医师教育家的追踪在研究生医学教育中不断普及,本报告旨在填补文献中的空白,通过提供14年的最新情况,了解精神病学住院医师学术管理员参与者的专业成果,临床医师教育者(AACE)跟踪并将这些结果与非跟踪参与者进行比较。
    方法:从2009年到2022年,向所有精神病学住院医师培训计划的毕业生分发了一项基于网络的匿名调查,以查询专业成就。比较了AACE跟踪参与者和非跟踪参与者的结果。
    结果:在联系的228名校友中,61%的回答(n=140)。87%的赛道参与者做出了回应(n=74),而41%的非赛道参与者做出了回应(n=45)。跟踪参与者,63%的人在学术环境中执业,57%的人担任过行政领导角色,49%的教育领导角色,39%的国家或地区领导角色。跟踪毕业生在学术上参与了70%的报告至少一个出版物,89%至少有一个演示文稿,93%参加至少一次全国会议。相比之下,31%的非轨道参与者在学术环境中执业,44%的人持有行政管理,29%的教育,20%的国家或地区领导角色。39%的人至少有一份出版物,75%至少有一次演讲,90%参加了至少一次全国会议。与非赛道参与者相比,跟踪参与者更有可能拥有学术背景和更多的出版物,并且更有可能担任国家或地区领导角色。
    结论:Track参与者比非Track参与者表现出作为临床教育者和学术管理者的纵向职业成功。
    OBJECTIVE: As clinician educator tracks continue to gain popularity in graduate medical education, this report aims to fill a gap in the literature by providing a 14-year update on professional outcomes of participants in a psychiatry residency academic administrator, clinician educator (AACE) track and to compare these outcomes to non-track participants.
    METHODS: An anonymous web-based survey querying professional achievements was distributed to all graduates of a psychiatry residency training program from 2009 to 2022. Outcomes of AACE track participants and non-track participants were compared.
    RESULTS: Of 228 alumni contacted, 61% responded (n = 140). Eighty-seven percent of track participants responded (n = 74) while 41% of non-track participants responded (n = 45). Of track participants, 63% practice in academic settings with 57% having held administrative leadership roles, 49% educational leadership roles, and 39% national or regional leadership roles. Track graduates were academically engaged with 70% reporting at least one publication, 89% at least one presentation, and 93% attending at least one national meeting. In comparison, 31% of non-track participants practice in academic settings with 44% having held administrative, 29% educational, and 20% national or regional leadership roles. Thirty-nine percent have at least one publication, 75% at least one presentation, and 90% attended at least one national meeting. When compared to non-track participants, track participants were significantly more likely to have an academic affiliation and a higher number of publications and were more likely to hold national or regional leadership roles.
    CONCLUSIONS: Track participants demonstrate longitudinal career success as clinician educators and academic administrators more so than non-track participants.
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  • 文章类型: Journal Article
    健康专业教育者很容易确定培养医疗保健提供者的目标,他们是专注于优质患者护理的批判性思想家。在下面的论文中,我们的目标是在团队层面深入研究批判性思维,并帮助教育工作者开始创建一个专注于认知的共享心智模型,以确定学员成长的差距和机会。我们将区分微观认知(个人在受控环境中的批判性思维过程),宏观认知(现实环境中的批判性思维过程),和团队认知(团队成员之间的互动和关系,以增强宏观认知)。将使用一个常见的案例示例来指导讨论,并提供一个模型框架,以供将来的临床教育工作者使用。
    Health profession educators readily identify with the goal of fostering healthcare providers who are critical thinkers focused on quality patient care. In the following paper, we aim to delve into critical thinking at the team level and help educators begin the process of creating a shared mental model focusing on cognition to identify gaps and opportunities for growth in their trainees. We will distinguish between microcognition (an individual\'s own critical thinking process in a controlled environment), macrocognition (critical thinking process in a real-world environment), and team cognition (the interaction and relationship among team members to augment macrocognition). A common case example will be used to guide the discussion as well as provide a model framework to be used for clinician educators in the future.
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  • 文章类型: Journal Article
    乳腺成像,以其独特的面向患者的方式,多模态,和多学科工作流程,提供机会,让医学生参加一般放射学轮换,并强调放射科医生在患者护理中的作用。在乳腺放射科医师在提供安全高效的成像服务方面面临前所未有的挑战之际,然而,容纳更多的医学生会让阅览室不堪重负,淡化学生有意义的学习经历,并对教师提出进一步的要求。为了满足学生和临床教育工作者的需求,Neher的一分钟教师教学策略用于在短时间内创造高收益的学习环境。在这个模型中,在160小时的常规放射学课程中,乳腺放射科医师仅在8到12小时的结构化学生暴露时间内,将多种有影响力和不同的学习经验编织在一起.我们描述了我们对该技术的适应以及短乳房成像组件对我们的一般放射学医学生轮换的积极影响。这种标准化的课程很容易适应各种学习方式。通过直接参与,它有助于医学生对放射学各个方面的理解,并超过了放射学医学生教育者联盟提出的教育目标。学生对一般放射学轮换的评估显示,在采用该技术后的一年里,对于在乳腺放射科诊所服务至少8小时的学生,学生轮作期末考试的乳房问题平均分数更高。
    Breast imaging, with its unique patient-facing, multimodality, and multidisciplinary workflow, offers opportunities to engage medical students enrolled in a general radiology rotation and to highlight the role of the radiologist in patient care. At a time when breast radiologists face unprecedented challenges in delivering safe and efficient imaging services, however, accommodating larger numbers of medical students can overwhelm reading rooms, dilute meaningful learning experiences for the student, and place further demands on faculty. In order to meet the students\' and clinician educators\' needs, Neher\'s one-minute preceptor teaching strategy is used to create a high-yield learning environment in a short amount of time. In this model, the breast radiologist weaves together multiple impactful and varied learning experiences in only 8 to 12 total hours of structured student exposure during the 160-hour general radiology course. We describe our adaptation of this technique and the positive impact that a short breast imaging component had on our general radiology medical student rotation. This standardized curriculum is easily adaptable to a variety of learning styles. It contributes to medical students\' understanding of the various facets of radiology through direct participation and exceeds education goals set forth by the Alliance of Medical Student Educators in Radiology. Students\' evaluations of the general radiology rotation demonstrated a sharp uptick in the year following the adoption of the technique, and students\' rotation final examination mean scores on the breast questions were higher for students who participated at least eight hours on service in the breast radiology clinic.
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  • 文章类型: Journal Article
    目的:评估医学生对通过核心文员课程中的促进研讨会提供的新型眼科资源的看法。
    方法:我们创建了www.2020sim.com,免费的基于案例的学习(CBL)眼科工具,改编自NephSIM(www.nephsim.com)。该工具首先在内科(IM)居民中试用。在确认需要之后,我们通过扩展20/20SIM内容并与神经病学(试点学年[AY]2020-2021)和儿科教务员(试点AY2021-2022)合作,专注于本科医学教育(UME),在每个教务员的教学课程中提供一个便利的一小时眼科研讨会。我们使用前后调查和知识评估来评估该工具。
    结果:在80名IM居民中,33人(41.3%)完成了需求评估。在参加研讨会的25名居民中,23人(92.0%)完成了出口调查。IM住院医师报告了多个眼科领域的不适(14个评级平均得分<3.0),确认需要。大多数(n=21/23,91.3%)将该工具评为良好/优秀。在145名神经科学生中,125(86.2%)和至少88(60.7%)学生完成了测试前和测试后/退出调查,分别。平均而言,参与者对该工具的评价很高,感知20/20SIM与他们的教育相关[4.1(0.8)]。测试前后的平均知识分数从7.5分增加到8.5/10.0分(p<0.001)。在136名儿科文员中,67人(49.3%)和51人(37.5%)完成了调查前和调查后,分别。在研讨会之后,受访者认为对眼科主题的舒适度增加[3.8(0.8)]。测试前后的平均知识分数从1.8分趋势到2.0/5.0分(p=0.30)。总的来说,20/139(14.4%)的退出调查受访者在研讨会后1个月内访问了www.2020sim.com。
    结论:在确定了居民最需要的区域后,我们与核心职员合作,在UME中提供跨学科眼科内容。我们发现20/20SIM卡的参与度很高,随着知识增长的趋势。
    OBJECTIVE: To evaluate medical student perceptions of a novel ophthalmology resource delivered through facilitated workshops in the core clerkship curriculum.
    METHODS: We created www.2020sim.com, a free case-based learning (CBL) ophthalmology tool, adapted from NephSIM (www.nephsim.com). The tool was first piloted with the internal medicine (IM) residents. After confirming a need, we focused on undergraduate medical education (UME) by expanding the 20/20 SIM content and partnering with the neurology (pilot academic year [AY] 2020-2021) and pediatric clerkships (pilot AY 2021-2022) to deliver a facilitated one-hour ophthalmology workshop within each clerkship\'s didactic curriculum. We evaluated the tool using pre- and post-surveys and knowledge assessments.
    RESULTS: Of 80 IM residents, 33 (41.3%) completed the needs assessment. Of the 25 residents who attended the workshop, 23 (92.0%) completed the exit survey. IM residents reported discomfort in several ophthalmology domains (9 of 14 rated mean score < 3.0), confirming a need. Most (n = 21/23, 91.3%) rated the tool as good/excellent. Of 145 neurology clerkship students, 125 (86.2%) and at least 88 (60.7%) students completed the pre- and post-test/exit surveys, respectively. On average, participants highly rated the tool, perceiving 20/20 SIM to be relevant to their education [4.1 (0.8)]. Mean pre- to post-test knowledge scores increased from 7.5 to 8.5/10.0 points (p < 0.001). Of the 136 pediatric clerkship students, 67 (49.3%) and 51 (37.5%) completed the pre- and post-surveys, respectively. Respondents perceived increased comfort with ophthalmology topics after the facilitated workshop [3.8 (0.8)]. Mean pre- to post-test knowledge scores trended from 1.8 to 2.0/5.0 points (p = 0.30). Collectively, 20/139 (14.4%) of exit survey respondents visited www.2020sim.com within 1 month after the workshop.
    CONCLUSIONS: After identifying areas of greatest need with residents, we partnered with core clerkships to deliver cross-disciplinary ophthalmology content in UME. We found high engagement with 20/20 SIM, with trends toward increased knowledge.
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  • 文章类型: Journal Article
    传统上,临床医师教育者的任务是培训未来的医师队伍。然而,履行这一责任所需的技能识别有限,并且缺乏对有效的教师发展以促进作为临床医生教育者的职业发展的共识。新发布的研究生医学教育认证委员会(ACGME)临床医师教育者(CE)里程碑框架概述了临床医师教育者的重要技能,并为创建强大的教师发展提供了机会。在本文中,普通内科学会教育委员会成员讨论这些CE里程碑的重要性,概述项目中突出的新颖主题,并为个人和机构层面的适当应用提供建议,以优化教师发展。本文讨论了如何将CEMilestones用作创建专业成长和自我导向学习文化的工具的策略。使用反思的方法,CE教师和导师可以确定熟练程度和增长机会的领域,从而为职业成功制定个性化的职业发展计划。机构应使用汇总CE里程碑数据作为其教师“人口”的需求评估,以创建有针对性的教师发展。最重要的是,机构不应使用CE里程碑进行高风险的评估,而是鼓励CE教师反思,并创建后续强大的教师发展计划。ACGMECE里程碑提供了一个令人兴奋的机会,并为未来的CE教师发展奠定了重要的基础。
    Traditionally, clinician educators are tasked with the responsibility of training future physician workforce. However, there is limited identification of skills required to fulfill this responsibility and a lack of consensus on effective faculty development for career growth as a clinician educator. The newly released Accreditation Council of Graduate Medical Education (ACGME) Clinician Educator (CE) Milestones framework outlines important skills for clinician educators and provides the opportunity to create robust faculty development. In this paper, members of the Society of General Internal Medicine Education Committee discuss the importance of these CE Milestones, outline the novel themes highlighted in the project, and provide recommendations for proper application on both the individual and institutional levels to optimize faculty development. The paper discusses strategies for how to apply the CE Milestones as a tool to create a culture of professional growth and self-directed learning. Using a reflective approach, CE faculty and mentors can identify areas of proficiency and opportunities for growth, thereby creating individualized professional development plans for career success. Institutions should use aggregate CE Milestones data as a needs assessment of their faculty \"population\" to create targeted faculty development. Most importantly, institutions should not use CE Milestones for high-stakes assessments but rather encourage reflection by CE faculty and create subsequent robust faculty development programs. The ACGME CE Milestones present an exciting opportunity and lay an important foundation for future CE faculty development.
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  • 文章类型: Journal Article
    由于COVID-19大流行期间对物理距离的要求,虚拟学习环境变得越来越重要。对于基于案例的教学会议来说,向虚拟格式的过渡一直具有挑战性,这涉及大量的观众参与。我们开发了一个教师发展研讨会,旨在教授健康专业教育工作者如何在视频会议平台中使用各种交互式虚拟工具来促进基于案例的虚拟会议。
    两个90分钟的研讨会作为教师发展计划进行了试点。主持人展示了可在基于案例的虚拟会议中使用的交互式教学工具。然后,参与者讨论了如何将这些工具纳入小团体分组会议中不同班级规模的基于案例的教学会议。参与者在每次研讨会后完成了一项在线调查,以评估会议。
    共有18名和26名受试者参加了第一和第二次研讨会,分别。第一次和第二次研讨会的调查回复率分别为100%(n=18)和65%(n=17),分别。两组都提供了总体较高的评分,并报告说研讨会很清楚,有组织的,和相关。参与者对在线教学使用各种互动工具更加熟悉和舒适。
    远程在线教学将越来越需要在不确定的时间。教师发展工作对于促进有效的交互式教学会议至关重要,该教学会议可以吸引学习者并最大程度地学习。这个虚拟教学研讨会是一种简单而直接的方式,可以在卫生专业的虚拟案例教学中引入更具交互性的格式。
    The virtual learning environment has become increasingly important due to physical distance requirements put in place during the COVID-19 pandemic. The transition to a virtual format has been challenging for case-based teaching sessions, which involve substantial audience participation. We developed a faculty development workshop aimed at teaching health professions educators how to use various interactive virtual tools within videoconferencing platforms to facilitate virtual case-based sessions.
    Two 90-minute workshops were piloted as a faculty development initiative. The facilitators demonstrated interactive teaching tools that could be used within virtual case-based sessions. Then, participants discussed how to incorporate these tools into case-based teaching sessions of different class sizes in small-group breakout sessions. Participants completed an online survey following each workshop to evaluate the sessions.
    A total of 18 and 26 subjects participated in the first and second workshops, respectively. Survey response rates were 100% (n = 18) and 65% (n = 17) for the first and second workshops, respectively. Both groups provided overall high ratings and reported that the workshop was clear, organized, and relevant. Participants were more familiar and comfortable with the use of various interactive tools for online teaching.
    Distance online teaching will be increasingly required for an undetermined time. Faculty development efforts are crucial to facilitate effective interactive teaching sessions that engage learners and maximize learning. This virtual teaching workshop is a simple and straightforward way to introduce a more interactive format to virtual case-based teaching in the health professions.
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  • 文章类型: Journal Article
    Social networking sites (or social media [SM]) are powerful web-based technologies used to bolster communication. SM have changed not only how information is communicated but also the dissemination and reception of a variety of topics. This workshop highlighted the benefits of SM for clinician educators. The use of SM was explored as a way to maximize opportunities for clinician educators to network, establish themselves as experts, and build a national reputation leading to promotion. The target audience for this submission is faculty developers who would like to implement a similar workshop, and clinician-educator faculty motivated by promotion and advancement.
    The training workshop involved an interactive session, with approximately 20 minutes of content, 20 minutes of individual and small-group activities, and 15 minutes of large-group discussion. The effectiveness of the workshop was evaluated by asking participants to complete a postsession survey of SM knowledge, attitude, and action.
    Survey responses (n = 14) demonstrated an increase in participants\' knowledge of SM platforms, ability to identify benefits of SM, skills to disseminate their work, and eagerness to build their personal brand.
    This workshop provided a foundation for clinician educators to think strategically about SM use in ways that highlight access to a broader network of colleagues and potential collaborators and that influence the impact of publications and work.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    The increasing complexity of healthcare needs underlines the growing importance of interprofessional education and collaborative practice (IPECP) in enhancing quality of patient care. In particular, clinician educators play an influential role in advocating IPECP. The primary goal of our exploratory pilot study is to explore 34 clinician educators\' attitudes towards IPECP by using the adapted 14-item Attitudes Toward Health Care Teams Scale (ATHCTS) and 15-item Readiness for Interprofessional Learning Scale (RIPLS). Mean scores of ATHCTS and RIPLS were 3.81 (SD = 0.90) and 4.02 (SD = 0.79), respectively. Using exploratory factor analysis, we identified four factors: team value (ATHCTS), team efficiency (ATHCTS), teamwork and collaboration (RIPLS), and professional socialisation (RIPLS). The \"team efficiency\" factor on the ATHCTS scored lowest (factor mean = 3.49) compared with other factors (factor means = 3.87-4.08). Correlation analyses revealed that the \"team efficiency\" factor had small correlations with other factors (r = -0.05-0.37). Our clinician educators valued IPECP in promoting teamwork and professional socialisation but they perceived IPECP to compromise efficiency. The issue of perceived inefficiency by clinician educators merits attention in order to promote wider implementation of IPECP.
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  • 文章类型: Journal Article
    Objective An innovative course was developed for fellows enrolled in the Yale School of Medicine Addiction Psychiatry program to educate them in key principles of adult learning, apply these principles in a case conference presentation, and to improve skills in providing and receiving feedback. Methods An initial training module on educational skills was followed by individual mentorship to prepare a case presentation. A feedback module provided space to learn and practice skills in feedback delivery. Results The program showed positive results and improved confidence levels of the participants in presenting and providing/receiving feedback. Conclusions Implementing a course designed to improve teaching and feedback skills is feasible in a 1-year Addiction Psychiatry fellowship.
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