Authors: Cornelia R M G Fluit Sanneke Bolhuis Richard Grol Roland Laan Michel Wensing
Publish Date: 2010/08/12
Volume: 25, Issue: 12, Pages: 1337-1345
Abstract
Learning in a clinical environment differs from formal educational settings and provides specific challenges for clinicians who are teachers Instruments that reflect these challenges are needed to identify the strengths and weaknesses of clinical teachersAspects covered by the instruments predominantly concerned the use of teaching strategies included in 30 instruments supporter role 29 role modeling 27 and feedback 26 Providing opportunities for clinical learning activities was included in 13 instruments Most studies referred to literature on good clinical teaching although they failed to provide a clear description of what constitutes a good clinical teacher Instrument length varied from 1 to 58 items Except for two instruments all had to be completed by clerks/residents Instruments served to provide formative feedback instruments but were also used for resource allocation promotion and annual performance review 14 instruments All but two studies reported on internal consistency and/or reliability other aspects of validity were examined less frequentlyNo instrument covered all relevant aspects of clinical teaching comprehensively Validation of the instruments was often limited to assessment of internal consistency and reliability Available instruments for assessing clinical teachers should be used carefully especially for consequential decisions There is a need for more valid comprehensive instrumentsHighquality patient care is only feasible if physicians have received highquality teaching during both their undergraduate and their residential years12 Their medical development starts in a university environment and continues in a clinical setting where they predominantly learn on the job Most teaching in clinical settings is provided by physicians who also work in that clinical setting Therefore it is important that these physicians should be good and effective teachers34
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