Skip to main content
Erschienen in: Journal of General Internal Medicine 9/2014

01.09.2014 | Original Research

Faculty Development to Enhance Humanistic Teaching and Role Modeling: A Collaborative Study at Eight Institutions

verfasst von: William T. Branch Jr., MD, Calvin L. Chou, MD, PhD, Neil J. Farber, MD, David Hatem, MD, Craig Keenan, MD, Gregory Makoul, PhD, Mariah Quinn, MD, William Salazar, MD, Jane Sillman, MD, Margaret Stuber, MD, LuAnn Wilkerson, Ed.D, George Mathew, MD, Michael Fost, MS

Erschienen in: Journal of General Internal Medicine | Ausgabe 9/2014

Einloggen, um Zugang zu erhalten

Abstract

Background

There is increased emphasis on practicing humanism in medicine but explicit methods for faculty development in humanism are rare.

Objective

We sought to demonstrate improved faculty teaching and role modeling of humanistic and professional values by participants in a multi-institutional faculty development program as rated by their learners in clinical settings compared to contemporaneous controls.

Design

Blinded learners in clinical settings rated their clinical teachers, either participants or controls, on the previously validated 10-item Humanistic Teaching Practices Effectiveness (HTPE) questionnaire.

Participants

Groups of 7-9 participants at 8 academic medical centers completed an 18-month faculty development program. Participating faculty were chosen by program facilitators at each institution on the basis of being promising teachers, willing to participate in the longitudinal faculty development program.

Intervention

Our 18-month curriculum combined experiential learning of teaching skills with critical reflection using appreciative inquiry narratives about their experiences as teachers and other reflective discussions.

Main Measures

The main outcome was the aggregate score of the ten items on the questionnaire at all institutions.

Key Results

The aggregate score favored participants over controls (P = 0.019) independently of gender, experience on faculty, specialty area, and/or overall teaching skills.

Conclusions

Longitudinal, intensive faculty development that employs experiential learning and critical reflection likely enhances humanistic teaching and role modeling. Almost all participants completed the program. Results are generalizable to other schools.
Literatur
1.
Zurück zum Zitat Institute of Medicine. Improving Medical Education: Enhancing the Social and Behavioral Science Content of Medical School Curricula. Washington, DC: National Academy Press; 2004. Institute of Medicine. Improving Medical Education: Enhancing the Social and Behavioral Science Content of Medical School Curricula. Washington, DC: National Academy Press; 2004.
2.
Zurück zum Zitat Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29:648–54.PubMedCrossRef Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29:648–54.PubMedCrossRef
3.
Zurück zum Zitat Liaison Committee on Medical Education. Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the MD Degree. Washington, DC: LCME; 2003. Liaison Committee on Medical Education. Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the MD Degree. Washington, DC: LCME; 2003.
5.
Zurück zum Zitat Branch WT Jr, Frankel R, Gracey CF, Haidet PM, Weissmann PF, Cantey P, Mitchell GA, Inui TS. A good clinician and a caring person: longitudinal faculty development and the enhancement of the human dimensions of care. Acad Med. 2009;84:117–25. doi:10.1097/ACM.0b013e3181900f8a.PubMedCrossRef Branch WT Jr, Frankel R, Gracey CF, Haidet PM, Weissmann PF, Cantey P, Mitchell GA, Inui TS. A good clinician and a caring person: longitudinal faculty development and the enhancement of the human dimensions of care. Acad Med. 2009;84:117–25. doi:10.​1097/​ACM.​0b013e3181900f8a​.PubMedCrossRef
6.
Zurück zum Zitat Logio LS, Monahan P, Stump TE, Branch WT Jr, Frankel RM, Inui TS. Exploring the psychometric properties of the humanistic teaching practices effectiveness questionnaire, an instrument to measure the humanistic qualities of medical teachers. Acad Med. 2011;86:1019–25. doi:10.1097/ACM.0b013e318221fb9c.PubMedCrossRef Logio LS, Monahan P, Stump TE, Branch WT Jr, Frankel RM, Inui TS. Exploring the psychometric properties of the humanistic teaching practices effectiveness questionnaire, an instrument to measure the humanistic qualities of medical teachers. Acad Med. 2011;86:1019–25. doi:10.​1097/​ACM.​0b013e318221fb9c​.PubMedCrossRef
7.
Zurück zum Zitat Higgins S, Bernstein L, Manning KD, Schneider J, Kho A, Brownfield E, Branch WT Jr. Through the looking glass: How reflective learning influences the development of young faculty members. Teach Learn Med. 2001;23:238–43. doi:10.1080/10401334.2011.586915.CrossRef Higgins S, Bernstein L, Manning KD, Schneider J, Kho A, Brownfield E, Branch WT Jr. Through the looking glass: How reflective learning influences the development of young faculty members. Teach Learn Med. 2001;23:238–43. doi:10.​1080/​10401334.​2011.​586915.CrossRef
8.
Zurück zum Zitat Hojat M, Gonella JS, Nasea TJ, Mangione S, Vergare M, Magee M. Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry. 2002;159:1563–9.PubMedCrossRef Hojat M, Gonella JS, Nasea TJ, Mangione S, Vergare M, Magee M. Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry. 2002;159:1563–9.PubMedCrossRef
9.
Zurück zum Zitat Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Adv in Health Sci Educ. 2009;14:595–621.CrossRef Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Adv in Health Sci Educ. 2009;14:595–621.CrossRef
10.
Zurück zum Zitat Sprinthall NA. Counseling and social role taking: Promoting moral and ego development. In: Rest JR, ed. Moral development in the profession: Psychology and applied ethics. Hillsdale: Lawrence Erlbaum Associates; 1994:55–100. Sprinthall NA. Counseling and social role taking: Promoting moral and ego development. In: Rest JR, ed. Moral development in the profession: Psychology and applied ethics. Hillsdale: Lawrence Erlbaum Associates; 1994:55–100.
11.
Zurück zum Zitat Schoen DA. Educating the Reflective Practitioner. San Francisco: Jossey-Bass; 1987. Schoen DA. Educating the Reflective Practitioner. San Francisco: Jossey-Bass; 1987.
12.
Zurück zum Zitat Mezirow J. Transformative Dimensions of Adult Learning. San Francisco: Jossey-Bass Publishers; 1991. Mezirow J. Transformative Dimensions of Adult Learning. San Francisco: Jossey-Bass Publishers; 1991.
13.
Zurück zum Zitat Rest JR. Background: theory and research. In: JR Rest, ed. Moral Development in the Professions: Psychology and Applied Ethics. Hillsdale: Lawrence Erlbaum Associates; 1994:1–26. Rest JR. Background: theory and research. In: JR Rest, ed. Moral Development in the Professions: Psychology and Applied Ethics. Hillsdale: Lawrence Erlbaum Associates; 1994:1–26.
14.
Zurück zum Zitat Rest JR, Thomas S. Educational programs and interventions. In: Rest JR, ed. Moral Development: Advances in Research and Theory. New York: Praeger; 1986:59–88. Rest JR, Thomas S. Educational programs and interventions. In: Rest JR, ed. Moral Development: Advances in Research and Theory. New York: Praeger; 1986:59–88.
16.
Zurück zum Zitat Peters AS, Greenberger-Rosovsky R, Crowder C, Block SD, Moore GT. Long-term outcomes of the new pathway program at Harvard medical school: a randomized controlled trial. Acad Med. 2000;75:470–9.PubMedCrossRef Peters AS, Greenberger-Rosovsky R, Crowder C, Block SD, Moore GT. Long-term outcomes of the new pathway program at Harvard medical school: a randomized controlled trial. Acad Med. 2000;75:470–9.PubMedCrossRef
17.
Zurück zum Zitat Windish DM, Gozu A, Bass EB, et al. A ten-month program in curriculum development for medical educators: Sixteen years of experience. J Gen Intern Med. 2007;22:655–61.PubMedCentralPubMedCrossRef Windish DM, Gozu A, Bass EB, et al. A ten-month program in curriculum development for medical educators: Sixteen years of experience. J Gen Intern Med. 2007;22:655–61.PubMedCentralPubMedCrossRef
18.
Zurück zum Zitat Knight AM, Cole KA, Kern DE, Barker LR, Kolodner K, Wright SM. Long-term follow-up of a longitudinal faculty development program in teaching skills. J Gen Intern Med. 2005;20:721–5.PubMedCentralPubMedCrossRef Knight AM, Cole KA, Kern DE, Barker LR, Kolodner K, Wright SM. Long-term follow-up of a longitudinal faculty development program in teaching skills. J Gen Intern Med. 2005;20:721–5.PubMedCentralPubMedCrossRef
Metadaten
Titel
Faculty Development to Enhance Humanistic Teaching and Role Modeling: A Collaborative Study at Eight Institutions
verfasst von
William T. Branch Jr., MD
Calvin L. Chou, MD, PhD
Neil J. Farber, MD
David Hatem, MD
Craig Keenan, MD
Gregory Makoul, PhD
Mariah Quinn, MD
William Salazar, MD
Jane Sillman, MD
Margaret Stuber, MD
LuAnn Wilkerson, Ed.D
George Mathew, MD
Michael Fost, MS
Publikationsdatum
01.09.2014
Verlag
Springer US
Erschienen in
Journal of General Internal Medicine / Ausgabe 9/2014
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-014-2927-5

Weitere Artikel der Ausgabe 9/2014

Journal of General Internal Medicine 9/2014 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.