Abstract
PURPOSE: Community-based clinical teachers provide an important cadre of faculty for
medical education. This study was designed to examine the feasibility and value of
an American College of Physicians–sponsored regional teaching improvement program
for community-based teachers.
SUBJECTS AND METHODS: We conducted five regional (Connecticut, New Hampshire/Vermont,
New York, Ohio, and Virginia) 1- to 2-day teaching-improvement workshops for 282 faculty
(49% community based, 51% university based). The workshops were conducted by regional
facilitators trained by the Stanford Faculty Development Program using large group
and small group instructional methods to teach participants a framework for analyzing
teaching, to increase their repertoire of teaching behaviors, to define personal teaching
goals, and to identify the educational needs of their teaching site.
Participants used Likert ratings [1 (low) to 5 (high) scale] to assess workshop quality,
facilitator effectiveness, and rewards for and barriers to teaching in their clinics.
Using retrospective pre- and postintervention ratings, participants also assessed
workshop impacts on teacher knowledge, attitudes, and skills. Finally, participants
completed open-ended questions to identify recommended changes to improve their clinic
as an educational site for students and residents.
RESULTS: At all sites, participants evaluated the program as highly useful (4.6 ±
0.6, mean ± SD). Participants’ ratings indicated that the program had a positive effect
on their knowledge of teaching principles (4.0 ± 0.9), an increase in their teaching
ability (P <0.001), and an increase in their sense of integration with their affiliated institution
(P <0.001).
CONCLUSIONS: Regional training of university and community faculty can be an effective
way of promoting the improvement of teaching and the collaboration between community-based
teachers and academic centers. National physician organizations and regionally based
facilitators can provide important resources for the delivery of such training.
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References
- Effects of time-in-clinic, clinic settings, and faculty supervision on the continuity clinic experience.Pediatrics. 1993; 19: 1089-1093
- The Rochester practice-based experience.Arch Intern Med. 1994; 154: 1253-1260
- Use of private offices in education of residents in internal medicine.Arch Intern Med. 1984; 144: 303-305
- Recruiting and retaining volunteer community preceptors.Acad Med. 1996; 71: 460-463
- Support of community preceptors.Fam Med. 1995; 27: 641-645
- Establishment of primary care continuity experiences in community pediatricians’ offices.Pediatrics. 1993; 91: 1185-1189
- The effect of a clinical teaching retreat on residents’ teaching skills.Acad Med. 1994; 69: 433-434
- The Stanford faculty development program.Teach Learn Med. 1992; 4: 180-187
- Improving clinical teaching. Evaluation of a national dissemination program.Arch Intern Med. 1992; 152: 1156-1161
- Evaluation of a medical faculty development program.Eval Health Prof. 1992; 15: 351-366
- Methodological considerations in the evaluation of a teacher-training program.J Ed Psych. 1980; 72: 62-70
- Teaching behaviors in the attending-resident interaction.J Fam Pract. 1984; 18: 297-304
- Developing community faculty. Principles, practice, and evaluation.Am J Dis Child. 1993; 147: 49-53
Article info
Publication history
Published online: August 16, 2004
Accepted:
August 17,
1998
Received:
December 10,
1997
Identification
Copyright
© 1999 Excerpta Medica Inc. Published by Elsevier Inc. All rights reserved.