Document Detail


Improving education under work-hour restrictions: comparing learning and teaching preferences of faculty, residents, and students.
MedLine Citation:
PMID:  21035768     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Faced with work-hour restrictions, educators are mandated to improve the efficiency of resident and medical student education. Few studies have assessed learning styles in medicine; none have compared teaching and learning preferences. Validated tools exist to study these deficiencies. Kolb describes 4 learning styles: converging (practical), diverging (imaginative), assimilating (inductive), and accommodating (active). Grasha Teaching Styles are categorized into "clusters": 1 (teacher-centered, knowledge acquisition), 2 (teacher-centered, role modeling), 3 (student-centered, problem-solving), and 4 (student-centered, facilitative).
STUDY DESIGN: Kolb's Learning Style Inventory (HayGroup, Philadelphia, Pennsylvania) and Grasha-Riechmann's TSS were administered to surgical faculty (n = 61), residents (n = 96), and medical students (n = 183) at a tertiary academic medical center, after informed consent was obtained (IRB # 06-0612). Statistical analysis was performed using χ(2) and Fisher exact tests.
RESULTS: Surgical residents preferred active learning (p = 0.053), whereas faculty preferred reflective learning (p < 0.01). As a result of a comparison of teaching preferences, although both groups preferred student-centered, facilitative teaching, faculty preferred teacher-centered, role-modeling instruction (p = 0.02) more often. Residents had no dominant teaching style more often than surgical faculty (p = 0.01). Medical students preferred converging learning (42%) and cluster 4 teaching (35%). Statistical significance was unchanged when corrected for gender, resident training level, and subspecialization.
CONCLUSIONS: Significant differences exist between faculty and residents in both learning and teaching preferences; this finding suggests inefficiency in resident education, as previous research suggests that learning styles parallel teaching styles. Absence of a predominant teaching style in residents suggests these individuals are learning to be teachers. The adaptation of faculty teaching methods to account for variations in resident learning styles may promote a better learning environment and more efficient faculty-resident interaction. Additional, multi-institutional studies using these tools are needed to elucidate these findings fully.
Authors:
Megan C Jack; Sonya B Kenkare; Benjamin R Saville; Stephanie K Beidler; Sam C Saba; Alisha N West; Michael S Hanemann; John A van Aalst
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical education     Volume:  67     ISSN:  1878-7452     ISO Abbreviation:  J Surg Educ     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-11-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303204     Medline TA:  J Surg Educ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  290-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, Division of Plastic Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
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