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Who Wants to Learn How to Teach? Perceptions of Radiology Residents and Radiology Teaching Faculty Regarding Resident as Teacher Training

Paul, Caroline R; Alpert, Jeffrey B; El-Ali, Alexander M; Sheth, Monica M; Qian, Kun; Fefferman, Nancy R
RATIONALE AND OBJECTIVES/OBJECTIVE:While the ACGME requires Resident as Teacher (RAT) training, curricula in radiology remain limited. Our study was performed to examine radiology residents (RR) and teaching faculty (TF) perceptions about RAT training. MATERIALS AND METHODS/METHODS:In 2021, anonymous online surveys were administered to all RR (53-item) and to all TF (24-item) of a radiology residency program. Content domains included attitudes about RAT training and learning topics. RESULTS:Response rates were 97% (38/39) for RR and 54% (58/107) for TF. Most RR desired training to become better educators to medical students (MS) (81%) and other residents (83%). Seventy-seven percent of RR reported the importance regarding how to give feedback to other learners, while 94% desired formal training on delivering case presentations. While 94% of RR reported that resident feedback was valuable, only 6% reported always giving feedback to MS. Seventy-two percent of RR did not apply at least some best-practices in their reading room teaching. Fifty-nine percent of RR wanted TF to observe their own teaching skills and provide feedback although 70% reported rarely or never receiving TF feedback. Ninety-three percent of TF reported RR should receive RAT training, while 88% reported that feedback of RR to MS was important. CONCLUSION/CONCLUSIONS:RR and TF strongly endorsed the need for RAT training. RR anticipate teaching to be an important part of their careers. We identified learning topics and possible gaps regarding how TF are meeting RR needs, which could inform the development of RAT curricula.
PMID: 36528427
ISSN: 1878-4046
CID: 5382652

Can We Ensure That Workshops Are Effective in Their Goal? Impact of a National Education Workshop on Participants' Subsequent Scholarship

Vercio, Chad; Peltier, Chris; Ryan, Michael; Khidir, Amal; Jackson, Joseph; Dallaghan, Gary Beck; Paul, Caroline R
Medical education conferences offer practical workshops to facilitate physicians' lifelong learning. Little is known about integration of workshop material after conferences. We sought to evaluate the application of workshop content focused on scholarly publication preparation. We developed an email survey to examine participants' progress preparing a publication in 2019, administered 4, 9, and 15 months post-conference. The survey included scaled items and open-ended questions. Thirty-three participants attended the workshop. Participants continued to develop their projects, but noted time, adequate evaluations, and no writing partners as barriers. Following up with workshop participants offers insights into effective application of workshop content.
PMID: 35194522
ISSN: 2156-8650
CID: 5175082

The Development, Implementation and Evaluation of an Acute Otitis Media Education Website

Paul, Caroline R; Kerr, Bradley R; Frohna, John G; Moreno, Megan A; Zarvan, Sarah J; McCormick, David P
PMID: 33838346
ISSN: 1876-2867
CID: 4842172

Teaching Sexual Orientation and Gender Identity in Pediatric Clinical Settings: A Training Workshop for Faculty and Residents

Paul, Caroline R; Wolfe, Adam D; Catallozzi, Marina; Jirasevijinda, Thanakorn; Kutscher, Eric; Lurie, Brian
Introduction:Health disparities for the lesbian, gay, bisexual, transgender, queer, intersex, asexual, all other genders, sexes, and sexualities (LGBTQIA+) population are striking. Yet, deliberate efforts to integrate sexual orientation and gender identity in pediatric education settings remain lacking. The type of formal training that pediatric educators currently have for teaching of sexual orientation and gender identity is unclear and limited, which led to the development and implementation of this curriculum. Methods:A 2-hour workshop was developed to address gaps in knowledge, equip faculty and resident educators with skills to apply key concepts in teaching activities, and motivate them to examine challenges and opportunities in teaching sexual orientation and gender identity principles in their routine duties in pediatric settings across the undergraduate and graduate education spectrum. Learning strategies of the workshop included learner activation, a didactic, and clinical cases with role-play opportunities. Participants completed evaluations at the end of the workshop. Results:). Participants reported workshop strengths and anticipated impact on their own teaching and clinical practice. Discussion:Stark health disparities for the LGBTQIA+ population and gaps in relevant curricula demand a training intervention for pediatric educators. We demonstrated the successful implementation of a training workshop, with evidence of feasibility and generalizability, that addressed knowledge gaps and teaching and clinical skills.
PMID: 33851011
ISSN: 2374-8265
CID: 4862502

Teaching pediatric otoscopy skills to the medical student in the clinical setting: preceptor perspectives and practice

Paul, Caroline R; Higgins Joyce, Alanna D; Beck Dallaghan, Gary L; Keeley, Meg G; Lehmann, Corinne; Schmidt, Suzanne M; Simonsen, Kari A; Christy, Cynthia
BACKGROUND:Acute otitis media (AOM) is the most frequent indication for antibiotic treatment of children in the United States. Its diagnosis relies on visualization of the tympanic membrane, a clinical skill acquired through a deliberate approach. Instruction in pediatric otoscopy begins in medical school. Medical students receive their primary experience with pediatric otoscopy during the required pediatric clerkship, traditionally relying on an immersion, apprentice-type learning model. A better understanding of their preceptors' clinical and teaching practices could lead to improved skill acquisition. This study investigates how pediatric preceptors (PP) and members of the Council on Medical Student Education in Pediatrics (COMSEP) perceive teaching otoscopy. METHODS:A 30-item online survey was administered to a purposeful sample of PP at six institutions in 2017. A comparable 23-item survey was administered to members through the 2018 COMSEP Annual Survey. Only COMSEP members who identified themselves as teaching otoscopy to medical students were asked to complete the otoscopy-related questions on the survey. RESULTS:Survey respondents included 58% of PP (180/310) and 44% (152/348) of COMSEP members. Forty-one percent (62/152) of COMSEP member respondents identified themselves as teaching otoscopy and completed the otoscopy-related questions. The majority agreed that standardized curricula are needed (PP 78%, COMSEP members 97%) and that all graduating medical students should be able to perform pediatric otoscopy (PP 95%, COMSEP members 79%). Most respondents reported usefulness of the American Academy of Pediatrics (AAP) AOM guidelines (PP 95%, COMSEP members 100%). More COMSEP members than PP adhered to the AAP's diagnostic criteria (pediatric preceptors 42%, COMSEP members 93%). The most common barriers to teaching otoscopy were a lack of assistive technology (PP 77%, COMSEP members 56%), presence of cerumen (PP 58%, COMSEP members 60%), time to teach in direct patient care (PP 46%, COMSEP members 48%), and parent anxiety (PP 62%, COMSEP members 54%). CONCLUSIONS:Our study identified systemic and individual practice patterns and barriers to teaching pediatric otoscopy. These results can inform education leaders in supporting and enabling preceptors in their clinical teaching. This approach can be adapted to ensure graduating medical students obtain intended core clinical skills.
PMID: 33198733
ISSN: 1472-6920
CID: 4714422

Propelling Educational Innovations to Publication in Five Steps

Ryan, Michael S; Kind, Terry; Jirasevijinda, T J; Paul, Caroline R; Keeley, Meg G; Rocha, Mary E M
PMID: 32134788
ISSN: 1938-808x
CID: 4631312

[S.l. : s.n.], 2020

Promoting the work of librarians through the Academic Pediatric Association Educational Scholars Program

Whipple, Elizabeth C; Paul, Caroline R; Hobson-Rohrer, Wendy L
CID: 4714872

The Decline in Community Preceptor Teaching Activity: Exploring the Perspectives of Pediatricians Who No Longer Teach Medical Students

Paul, Caroline R; Vercio, Chad; Tenney-Soeiro, Rebecca; Peltier, Chris; Ryan, Michael S; Van Opstal, Elizabeth R; Alerte, Anton; Christy, Cynthia; Kantor, Julie L; Mills, William A; Patterson, Patricia B; Petershack, Jean; Wai, Andrew; Beck Dallaghan, Gary L
PURPOSE/OBJECTIVE:Difficulty in recruiting and retaining community preceptors for medical student education has been described in the literature. Yet little, if any, information is known about community outpatient preceptors who have stopped or decreased teaching time with students. This study aimed to examine these preceptors' perspectives about this phenomenon. METHOD/METHODS:Using a phenomenology framework, this multi-institutional qualitative study used semistructured interviews with community pediatric preceptors who had stopped or reduced teaching time with medical students. Interviews were conducted between October 2017 and January 2018 and transcribed verbatim. Interviews explored factors for engaging in teaching, or decreasing or ceasing teaching, that would enable future teaching. An initial code book was developed and refined as data were analyzed to generate themes. RESULTS:Twenty-seven community pediatricians affiliated with 10 institutions participated. Thirty-seven codes resulted in 4 organizing themes: evolution of health care, personal barriers, educational system, and ideal situations to recruit and retain preceptors, each with subthemes. CONCLUSIONS:From the viewpoints of physicians who had decreased or stopped teaching students, this study more deeply explores previously described reasons contributing to the decline of community preceptors, adds newly described barriers, and offers strategies to help counter this phenomenon based on preceptors' perceptions. These findings appear to be manifestations of deeper issues including the professional identify of clinical educators. Understanding the barriers and strategies and how they relate to preceptors themselves should better inform education leaders to more effectively halt the decline of community precepting and enhance the clinical precepting environment for medical students.
PMID: 31425181
ISSN: 1938-808x
CID: 4631292

Get Promoted! Academic Advancement for Educators

Chapter by: Gigante, Joseph; Paul, Caroline; et al
in: PAS 2020 Meeting Online Program Guide by
[S.l. : Pediatric Academic Societies], 2020
pp. ?-?
CID: 4739832

You Talk Like a Girl: Exploring the Art and Science of Gender Talk in Academic Medicine

Chapter by: Anderson, Ingrid McDowell; Dixon, Gabrina; Ottolini, Mary Catherine; Petershack, Jean; Seelbach, Elizabeth B; Paul, Caroline Rose
in: PAS 2020 Meeting Online Program Guide by
[S.l. : Pediatric Academic Societies], 2020
pp. ?-?
CID: 4739822