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Physicians' roles in competency-based teaching: Do students recognize them?
Elvira Pippel1, Elisabeth Narciß1, Udo Obertacke1
1Medical Faculty Mannheim, Heidelberg University, University Medicine Mannheim (UMM), Mannheim, Germany.
GMS Journal for Medical Education
|September 7, 2018
Summary
The ambulatory care simulation effectively teaches medical students communication and medical expertise roles. However, it struggles to address all physician roles and align learning outcomes with objectives, indicating a need for curriculum integration and instructor training.
Area of Science:
- Medical Education
- Simulation-Based Learning
- Physician Competencies
Background:
- New teaching formats are crucial for imparting physician roles in medical education.
- The "ambulatory care simulation" was developed to teach six key physician roles: medical expert, communicator, health advocate, manager, team member, and professional.
Purpose of the Study:
- To evaluate if the "ambulatory care simulation" effectively addresses all physician roles.
- To determine if students recognize the competency-based learning objectives of the simulation.
Main Methods:
- 12 "ambulatory care simulations" were filmed with participant consent.
- Videos were analyzed using predefined observation criteria.
- Student "one-minute papers" (211 responses) were analyzed to map learning outcomes to objectives.
Main Results:
- The "medical expert" and "communicator" roles were most frequently addressed.
- Two-thirds of students reported learning outcomes not aligned with the simulation's defined objectives.
- Adherence to guidelines was observed, but not all roles were equally emphasized.
Conclusions:
- Single teaching units like the "ambulatory care simulation" may be insufficient for comprehensive understanding of physician roles.
- Longitudinal integration, intensive instructor preparation, and transparent learning objectives are recommended.
- Formative evaluations are essential for complex teaching formats to ensure learning objectives are addressed, recognized, and achieved.