Residents' Teaching Skills (Springer Series on Medical Education) - Original PDF
نویسندگان: Janine Edward, Joan Friedland, Robert Bing-You
خلاصه: After a 2-year stint as a research fellow in nephrology, I returned to BostonCity Hospital in order to complete my 3rd year of internal medicine residen-cy. During the course of my fellowship, I'd done research on acid-basedisorders—an area that most medical students and residents find very con-fusing. Because of my research experience, the faculty and attendings as-sumed that I could teach this arcane subject to my peers and to our medicalstudents. With no training whatsoever in teaching (yes, even as a 3rd-yearresident!), I was assigned the task of putting together a lecture/seminar se-ries. To this day, I'm not sure whom the experience was worse for: theanxious, utterly unprepared "instructor" (me), or the learners, who probablygot very little satisfactory instruction from the seminar despite my mostearnest efforts.Does this sound familiar? It's an experience that nearly all of us have hadat some point during our residency: the sudden, sickening realization thatwe're going to be expected not only to care for patients, but to teach themedical students that we all too recently were ourselves. And we have abso-lutely no idea what to do. For more than a few residents, a crashing patientin the emergency room may be a lot less daunting than a clutch of earnestmedical students following in their wake and waiting for their wisdom.Traditionally, medical residents have not received the formal preparationthat is essential to the transition from full-time learner to at least part-timeteacher. Although many residents make that transition successfully through asort of osmosis, many more do not, and they remain ineffective teachersthroughout their residencies. With some estimates indicating that residentsare responsible for as much as 80% of student teaching, this is clearly anuntenable situation for medical education. Nor is it permissible according tothe standards of the Liaison Committee on Medical Education, which statethat "Residents must be fully informed about the educational objectives ofthe clerkships and be prepared for their roles as teachers and evaluators ofmedical students.