Document Detail


Doctors as teachers: what do they think?
MedLine Citation:
PMID:  19448770     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To assess the views of senior medical officers (SMOs) at Auckland City Hospital (Auckland, New Zealand) in the areas of teaching, supervision, and feedback for resident medical officers (RMOs). METHODS: All SMOs at Auckland City Hospital were asked to complete a survey regarding postgraduate medical education. Data was then collected and entered into a Microsoft Excel spreadsheet and was statistically analysed. P values were calculated using Chi-squared testing and Fisher's exact test. RESULTS: 237/730 surveys were received giving a response rate of 32.1%. There was a statistically significant difference between SMOs self-rated competence (SRC) and their perceived required competence (RC) in the domains of 'Teaching' (SRC=3.74; RC=4.36 - p<0.0001), 'Supervision' (SRC=3.78; RC=4.37 - p<0.0001) and 'Feedback' (SRC=3.55; RC=4.36 - p<0.0001). Ratings were done on a 5-point Likert scale where a score of 1 was poor and a score of 5 was excellent. SMOs were then asked whether they required further information around various postgraduate medical education topics. 79.9% requested information on 'managing the poorly performing RMO'. Dual employees (i.e. SMOs employed by both the University of Auckland and Auckland City Hospital) were more likely to have attended a 'Teach the Teacher Course' (66.6%) than those SMOs only employed by Auckland City Hospital (43.3%, p=0.0083). A number of factors were also identified as barriers to conducting effective teaching. These included a lack of time, high clinical workload, poor continuity between trainees and SMOs, and a lack of recognition for teaching roles of SMOs. CONCLUSIONS: Our study showed a gap between the perceived self-rated competence and required competence in SMOs in their role as teachers. There is also a perceived gap in support for SMOs in their role as teachers and the expected educational outcomes for trainees within the New Zealand clinical setting.
Authors:
Lloyd J McCann; Gill Naden; Stephen Child
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-04-03
Journal Detail:
Title:  The New Zealand medical journal     Volume:  122     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-18     Completed Date:  2009-06-15     Revised Date:  2010-10-22    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  16-22     Citation Subset:  IM    
Affiliation:
Auckland District Health Board, Private Bag, Auckland, New Zealand.
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Competence*
Clinical Medicine / education*
Education, Medical, Graduate / standards,  trends
Female
Health Care Surveys
Hospitals, Urban
Humans
Inservice Training / standards*,  trends
Internship and Residency*
Interprofessional Relations
Male
Medical Staff, Hospital*
Middle Aged
New Zealand
Physician's Practice Patterns / standards,  trends
Probability
Quality of Health Care
Questionnaires
Self Efficacy
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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