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Faculty perceptions and practice impact of a faculty development workshop on emergency medicine teaching

Published online by Cambridge University Press:  21 May 2015

Glen Bandiera ,
Shirley Lee  and
John Foote
Glen Bandiera*
Affiliation:
Department of Medicine, University of Toronto, Toronto, Ont.; St. Michael’s Hospital, Toronto, Ont.
Shirley Lee
Affiliation:
Department of Family and Community Medicine, University of Toronto, Schwartz–Reisman Emergency Department, Mt. Sinai Hospital, Toronto, Ont.
John Foote
Affiliation:
Department of Family and Community Medicine, University of Toronto, Credit Valley Hospital, Mississauga, Ont.
*
Department of Emergency Services, St. Michael's Hospital, 30 Bond St., Toronto ON M5B 1W8; 416 864 5095, 416 864 5341, glen.bandiera@utoronto.ca

Abstract

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Background:

Faculty development initiatives to improve emergency department (ED) teaching are compromised by the paucity of information about what behaviours and characteristics are desirable in an emergency medicine (EM) teacher.

Objectives:

To design and evaluate a learner-centred, interactive faculty development workshop based on original ED teaching research.

Methods:

Registrants for a university-based faculty development workshop on ED teaching completed a needs assessment and pre-workshop self-reflection exercise. Responses were grouped into 3 themes derived from the ambulatory teaching literature and a recent survey of expert clinical EM teachers and learners. Participants underwent a half-day workshop consisting of 1 large group interactive session and 3 small group sessions using role playing, practice reflection, real time review of hard copy resources, and brainstorming. Evaluation included a post-event ordinal scale questionnaire and a 4-month follow-up short answer survey, both measuring participants' perceptions of workshop effectiveness.

Results:

Fifteen faculty participated. The needs assessment identified “Common mistakes,” “Teaching efficiently” and “Dealing with the difficult learner” as themes. All 15 completed evaluations, rating the workshop as relevant (4.6/5), specific to their needs (4.4/5) and useful (4.5/5). At 4 months, 10 out of 10 respondents reported success at implementing new techniques and 8 reported greater confidence in teaching. The most common new techniques were: setting better learning objectives, giving better feedback, actively seeking teaching opportunities, and identifying a teaching point.

Conclusions:

Learner-centred faculty development meets perceived needs of faculty and can result in participants trying new teaching strategies.

Keywords

faculty developmentpostgraduate trainingmedical education
Type
Original Research • Recherche originale
Information
Canadian Journal of Emergency Medicine , Volume 7 , Issue 5 , September 2005 , pp. 321 - 327
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

References

1.Gallagher, EJ, Martin, M. Faculty development handbook. Lansing (MI): Society for Academic Emegency Medicine; 2000.Google Scholar
2.Heidenreich, C, Lye, P, Simpson, D, Lourich, M. The search for effective and efficient ambulatory teaching methods through the literature. Pediatrics 2000;105:231–7.Google Scholar
3.Irby, DM. Teaching and learning in ambulatory care settings: a thematic review of the literature. Acad Med 1995;70:898–931.Google Scholar
4.Irby, DM, Ramsey, P, Gilbert, D, Shaad, M. Characteristics of effective clinical teachers of ambulatory care medicine. Acad Med 1991;66:54–5.CrossRefGoogle ScholarPubMed
5.Ferenchick, G, Simpson, D, Blackman, J, De Rosa, D, Dunnigton, G. Strategies for efficient and effective teaching in the ambulatory care setting. Acad Med 1997;72:277–80.CrossRefGoogle ScholarPubMed
6.Neher, JO, Gordon, K, Myer, B, Stevens, M. A five-step “microskills” model of clinical teaching. J Am Board Fam Pract 1992;5:419–24.Google ScholarPubMed
7.Skeff, KM. Enhancing teaching effectiveness and vitality in the ambulatory setting. J Gen Intern Med 1988;3(2 suppl):S26–33.CrossRefGoogle ScholarPubMed
8.Stritter, FT, Baker, RM. Resident preferences for the clinical teaching of ambulatory care. J Med Educ 1982;57:33–41.Google ScholarPubMed
9.Bandiera, G, Lee, S, Tiberius, R. Creating effective learning in today’s emergency departments: how accomplished teachers get it done. Acad Emerg Med 2005;45(3):253–61.Google Scholar
10.Bandiera, G, Thurgur, L, Lee, S, Tiberius, R. What Emergency medicine learners wish their teachers knew. Clin Invest Med 2004;27:201.Google Scholar
11.Steinert, Y, Nasmith, L, Daigle, N. A faculty development workshop on “Developing Successful Workshops.” Acad Med 2000;75:5545.Google Scholar
12.Skeff, KM, Stratos, G, Mygdal, W, Dewitt, T, Manfred, L, Quirk, M, et. al.Faculty development. A resource for clinical teachers. J Gen Intern Med 1997;12 (suppl 2):S56–63.Google Scholar
13.Coates, WC, Hobgood, CD, Birnbaum, A. Faculty development: academic opportunities for emergency medicine faculty on education career tracks. Acad Emerg Med 2003;10:1113–7.CrossRefGoogle ScholarPubMed
14.Hamilton, GC, Brown, JE. Faculty development: What is faculty development? Acad Emerg Med 2003;10:1334–6.Google Scholar
15.Wilkerson, L. Strategies for improving teaching practices: a comprehensive approach to faculty development. Acad Med 1998;73:387–96.CrossRefGoogle ScholarPubMed
16.Ramalanjaona, G. Faculty development: how to evaluate the effectiveness of a faculty development program in emergency medicine. Acad Emerg Med 2003;10:891–2.Google Scholar
17.Chisholm, CD, Collison, E, Nelson, D, Cornell, W. Emergency department workplace interruptions: Are emergency physicians “interrupt-driven” and “multitasking”? Acad Emerg Med 2000; 7:1239–43.CrossRefGoogle ScholarPubMed
18.Irby, DM. What clinical teachers in medicine need to know. Acad Med 1994;69:333–42.Google Scholar
19.Penciner, R. Clinical teaching in a busy emergency department: strategies for success. Can J Emerg Med 2002;4(4):286–8.CrossRefGoogle Scholar
20.Skeff, KM, Bowen, JL, Irby, DM. Protecting time for teaching in the ambulatory care setting. Acad Med 1997;72:694–7; discussion 693.Google Scholar
21.Carter, AJE, McCauley, WA. Off-service residents in the emergency department: the need for learner-centeredness. Can J Emerg Med 2003;5(6):400–5.CrossRefGoogle Scholar
22.Taylor, AS. Emergency medicine educational objectives for the undifferentiated physician. J Emerg Med 1994;12:255–62.Google Scholar
23.Furney, SL, Orsini, A, Orsetti, K, Stern, D, Gruppen, L, Irby, D, et al.Teaching the one-minute preceptor. A randomized controlled trial. J Gen Intern Med 2001;16(9):620–4.CrossRefGoogle ScholarPubMed
24.Laidley, TL, Braddock, IC. Role of adult learning theory in evaluating and designing strategies for teaching residents in ambulatory settings. Adv Health Sci Educ Theory Pract 2000;5:43–54.CrossRefGoogle ScholarPubMed
25.Atzema, C, Bandiera, G, Schull, MJ. Emergency department crowding: the effect on resident education. Ann Emerg Med 2005;45(3):276–81.CrossRefGoogle ScholarPubMed
26.Societal Needs Working Group. Skills for the new millennium. Ann RCPSC 1996;29:206–16.Google Scholar
27.Skeff, K. Clinical teaching improvement: past and future for faculty development. Fam Med 1997;29:252–7.Google ScholarPubMed
28.Kirkpatrick, D. Evaluating training programs: the four levels. San Francisco: Berrett-Koehler; 1994.Google Scholar