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Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
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Chief's seminar: turning interns into clinicians.

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A chief resident-led clinical curriculum using active learning significantly improved internal medicine residents' clinical reasoning skills. This evidence-based approach proved effective and enjoyable, enhancing graduate medical education.

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Area of Science:

  • Medical Education
  • Internal Medicine
  • Clinical Reasoning

Background:

  • Healthcare delivery changes necessitate reforms in residency education.
  • Graduate medical education can leverage chief resident-led clinical curricula.
  • Chief residents are well-suited as clinical instructors due to their recent experience and success.

Purpose of the Study:

  • To present a chief resident-led, small-group, problem-based curriculum for first-year internal medicine residents.
  • To provide preliminary data on the efficacy of this educational approach.

Main Methods:

  • An 11-module curriculum with a mix of team-based competitions and problem-based learning sessions.
  • Chief residents led small-group clinical reasoning sessions.
  • Evaluation through pre- and post-module multiple-choice tests and resident satisfaction surveys.

Main Results:

  • A statistically significant increase in post-test scores compared to pre-test scores was observed in 9 out of 11 modules.
  • Modules demonstrating statistical significance included chest pain, fever, abdominal pain, shock, syncope, jaundice, dizziness, anemia, and acute kidney injury.
  • Resident surveys indicated the teaching approach was an enjoyable experience.

Conclusions:

  • The chief resident seminar is an evidence-based clinical reasoning curriculum for graduate medical education.
  • Active learning techniques within this model are effective and enjoyable for internal medicine residents.
  • The curriculum's reproducibility allows for broad application across residency education.