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Published on: March 29, 2019
A novel resident-as-teacher training program to improve and evaluate obstetrics and gynecology resident teaching
Hope A Ricciotti1, Laura E Dodge, Julia Head
1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Kirstein 315, Boston, MA 02215, USA. hricciot@bidmc.harvard.edu
Background:
Residents play a significant role in teaching, but formal training, feedback, and evaluation are needed.
Aims:
Our aims were to assess resident teaching skills in the resident-as-teacher program, quantify correlations of faculty evaluations with resident self-evaluations, compare resident-as-teacher evaluations with clinical evaluations, and evaluate the resident-as-teacher program.
Method:
The resident-as-teacher training program is a simulated, videotaped teaching encounter with a trained medical student and standardized teaching evaluation tool. Evaluations from the resident-as-teacher training program were compared to evaluations of resident teaching done by faculty, residents, and medical students from the clinical setting.
Results:
Faculty evaluation of resident teaching skills in the resident-as-teacher program showed a mean total score of 4.5 ± 0.5 with statistically significant correlations between faculty assessment and resident self-evaluations (r = 0.47; p < 0.001). However, resident self-evaluation of teaching skill was lower than faculty evaluation (mean difference: 0.4; 95% CI 0.3-0.6). When compared to the clinical setting, resident-as-teacher evaluations were significantly correlated with faculty and resident evaluations, but not medical student evaluations. Evaluations from both the resident-as-teacher program and the clinical setting improved with duration of residency.
Conclusions:
The resident-as-teacher program provides a method to train, give feedback, and evaluate resident teaching.
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