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Evaluation of a Pediatric Teaching Program: A Qualitative, Ethnographic Study
Kimberly O'Hara1, Kathleen Brimsek1, Lauren Anderson1
1Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.
The Teaching Excellence Among Medical Providers (TEAM) Program improved medical education culture by enhancing mentorship, professional identity, and clinical team support. This initiative positively impacted learners and faculty in pediatric hospital medicine.
Area of Science:
- Medical Education Research
- Qualitative Study Design
- Healthcare Professional Development
Background:
- Needs assessment identified deficits in direct observations, teaching, and evaluations in pediatric hospital medicine.
- Training programs and accrediting bodies mandate these educational components.
- The Teaching Excellence Among Medical Providers (TEAM) Program was developed to address these gaps.
Purpose of the Study:
- To evaluate the impact of the TEAM Program on the educational culture in pediatric hospital medicine.
- To assess changes in the learning environment for both trainees and faculty.
- Utilizing a focused ethnographic approach to understand program effects.
Main Methods:
- Qualitative study employing interviews with learners and faculty, and field observations of TEAM shifts.
- Data analysis guided by self-regulated learning theory and organized through 3 cultural lenses: organizational, identity, and practice.
- Iterative coding and thematic analysis to achieve information power.
Main Results:
- Analysis revealed 6 themes across the 3 cultural lenses.
- Organizational lens: TEAM fosters shared values, cohesion, and mentorship.
- Identity lens: TEAM promotes professional identity formation and a growth mindset.
- Practice lens: TEAM positively influences clinical team dynamics and provides valuable perspective.
Conclusions:
- The TEAM Program has positively impacted the educational culture in pediatric hospital medicine.
- Participants reported a prioritization of education, professional development, and clinical team support.
- The program's success is understood through its influence on organizational, identity, and practice aspects of the educational culture.
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