How medical students learn from residents in the workplace: a qualitative study.

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ID: 25648
2014
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Ranked #31 of 146 articles by views in Academic medicine : journal of the Association of American Medical Colleges

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Abstract
To explore what third-year medical students learn from residents and which teaching strategies are used by excellent resident teachers in their interactions with students in the clinical workplace environment.In this multi-institutional qualitative study between January and March 2012, the authors conducted focus groups with medical students who were midway through their third year. Qualitative analysis was used to identify themes.Thirty-seven students participated. Students contributed 228 comments related to teaching methods used by residents. The authors categorized these into 20 themes within seven domains: role-modeling, focusing on teaching, creating a safe learning environment, providing experiential learning opportunities, giving feedback, setting expectations, and stimulating learning. Role-modeling, the most frequently classified method of teaching in this study, was not included in three popular "Resident-as-Teacher" (RAT) models. Strategies including offering opportunities for safe practice, involving students in the team, and providing experiential learning opportunities were not emphasized in these models either. Almost 200 comments representing the knowledge and skills students learned from residents were categorized into 33 themes within nine domains: patient care, communication, navigating the system, adaptability, functioning as a student/resident, lifelong learning, general comments, career/professional development, and medical content. Most of these areas are not emphasized in popular RAT models.Residents serve as critically important teachers of students in the clinical workplace. Current RAT models are based largely on the teaching behaviors of faculty. The content and teaching strategies identified by students in this study should serve as the foundation for future RAT program development.
Reference Key
karani2014howacademic Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Karani, Reena;Fromme, H Barrett;Cayea, Danelle;Muller, David;Schwartz, Alan;Harris, Ilene B;
Journal Academic medicine : journal of the Association of American Medical Colleges
Year 2014
DOI
10.1097/ACM.0000000000000141
URL
Keywords Keywords not found

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