Bridging the Gap Between 'Do One' and 'Teach One': Impact of a Procedural Objective Structured Teaching Encounter on Resident Procedural Teaching Proficiency
| Autor: | Jacob H. Johnson, Paul F. Currier, Vimal V. Jhaveri |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Medical education
Bridging (networking) 020205 medical informatics Trainer education Statistical difference Medicine (miscellaneous) Qualitative property 02 engineering and technology Session (web analytics) Education Task (project management) Standard procedure 03 medical and health sciences 0302 clinical medicine Intervention (counseling) 0202 electrical engineering electronic engineering information engineering 030212 general & internal medicine Psychology Original Research |
| Zdroj: | Med Sci Educ |
| ISSN: | 2156-8650 |
| Popis: | PROBLEM: Minimal formal training exists in teaching invasive bedside procedures during Internal Medicine (IM) residency despite the large role trainees have in instructing junior colleagues. OBJECTIVE AND METHODS: We investigated if using a Procedural Objective Structured Teaching Encounter (PrOSTE) to disseminate a novel method for teaching procedures would improve supervising residents’ (n = 7) ability to teach ultrasound-guided peripheral IV’s (USGIV) to incoming interns (n = 67) at a single, large academic IM residency. Supervising residents were assigned to receive the PrOSTE training versus standard procedure training, and then, both groups instructed incoming interns. The impact of the PrOSTE was measured by participant surveys, observed changes in teacher behavior, and performance of incoming interns on a USGIV blinded assessment station. MEASUREMENT AND MAIN RESULTS: PrOSTE-trained residents reported high levels of satisfaction with the session and demonstrated increased desirable behaviors when teaching procedures. There was no statistical difference in incoming intern performance when placing USGIVs between intervention and standard groups (81.0% vs 74.8% items correct; difference 6.2; SD = 12.4; p = 0.22). CONCLUSION: The PrOSTE is a feasible, well-received tool for training supervising residents in our novel teaching framework, as demonstrated in this pilot study. Despite not showing a difference in learner performance, qualitative data suggests the impact of the PrOSTE would be even greater in a more controlled teaching environment. Using a PrOSTE to deliver this teaching framework has broad applicability to any IM residency, and the tenets can be used with any bedside invasive procedure with an effective task trainer. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40670-020-00972-7) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink