RESIDENT AS TEACHER IN CLERKSHIP: STUDENTS’ AND RESIDENTS’ PERCEPTION

https://doi.org/10.22146/jpki.41845

Nurrahma Wahyu Fitriyani(1*), Ova Emilia(2), Doni Widyandana(3)

(1) Faculty of Medicine, Universitas Brawijaya, Malang - INDONESIA
(2) Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta – INDONESIA
(3) Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta – INDONESIA
(*) Corresponding Author

Abstract


Background: Resident has a significant role and time allocation as a clinical teacher in the learning process of medical students at the clerkship stage in clinical settings. Unfortunately, residents were often not formally asked to be involved in the teaching process. Residents’ role in medical students’ learning process in clerkship is still ill defined. The aim of this study was to explore the perceptions of resident and medical students on residents’ role as a teacher in clerkship using cognitive apprenticeship model.

Methods: This study used quantitative descriptive, cross sectional design. Samples taken with total sampling were 153 students (68.3%) and 214 resident (60.6%) of the total population. Respondents were asked to fill The Maastricht Clinical Teaching Questionnaire (MCTQ), and the results were analyzed using ANOVA and independent t-test.

Results: Results of quantitative analysis showed a difference of perception between students and residents in modeling (p = 0.008) and overall performance (p = 0.002) factor, in which students placed a higher point than the resident. These results were consistently found in three departments. While in three other, students gave a lower point than the resident. In addition, differences also found in the exploration factor based on residents’ study period and residents’ preferences for teaching.

Conclusion: Residents’ role as a clinical teacher in clerkship is very important, especially as a role model for students. Taking into account of time allocations spent between students and the residents, improvement and optimalization of residents’ role as a clinical teacher appears to be an important requirement.


Keywords


Resident, student, MCTQ, role modeling

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References

Xu G, Wolfson P, Robeson M, et al. Students’ Satisfaction and Perception of Attending Physicians’ and Residents’ Teaching Role. American Journal of Surgery [Internet]. 1998;176:46-8.

Daelmans HEM, Hoogenboom RJI, Donker AJM, et al. Effectiveness of clinical rotation as a learning environment for achieving competences. Medical Teacher [Internet]. 2004;26(4):305-12.

Rubin DJ, Rarey KE. Resident and Faculty Feedback: The Student Perspective. 2003 [cited 2013 April 3]. Available from: jdc.jefferson.edu

Dunne B, Smyth P, Furlong H, Rakovac-Tisdall A, Murphy D, Sreenan S. Interns as teachers of medical students: a pilot programme. International Journal Medical Science [Internet]. 2011;180:211-4.

Whittaker LD, Estes NC, Ash J, Meyer LE. The value of resident teaching to improve student perceptions of surgery clerkship and surgical career choices. The American Journal of Surgery [Internet]. 2006;191:320-4.

Busari JO, Scherpbier AJJA, Van Der Vleuten CPM, et al. Residents’ perception of their role in teaching undergraduate students in the clinical setting. Medical Teacher [Internet]. 2000;22(4):348-53. Available from: Informa Healthcare

Huynh A, Savitski J, Kirven M, Godwin J, Gil KM. Effect of medical students’ experiences with residents as teachers on clerkship assessement. Journal of Graduate Medical Education [Internet]. 2011;3(35):345-9.

Hays R. Teaching and learning in clinical settings. UK: Radcliffe Publishing; 2006.

Konsil Kedokteran Indonesia (KKI). Standar Pendidikan Profesi Dokter Spesialis. Jakarta: KKI; 2006.

Fakultas Kedokteran Universitas Brawijaya. Buku Pedoman Program Pendidikan Dokter Spesialis. Malang: FKUB; 2009.

Fakultas Kedokteran Universitas Brawijaya. Buku Pedoman Akademik Program Pendidikan Dokter Tahun 2010-2011. Malang: FKUB; 2010.

Stalmeijer RE, Dolmans DHJM, Wolfhagen IHAP, Scherpbier AJJA. Cognitive apprenticeship in clinical practice : can it stimulate learning in the opinion of students?. Advance in Health Science Education [Internet]. 2009;14:535-46.

Collins A, Brown JS, Holum A. Cognitive Apprenticeship: Making thinking visible. The American Educator. 1991 Winter issue.

Stalmeijer RE, Dolmans DHJM, Snellen-Balendong HAM, et al. Clinical teaching based on principles of cognitive apprenticeship: Views of experienced clinical teachers. Academic Medicine [Internet]. 2013;88:861-5.

Remmen R, Denekens J, Scherpbier AJ, et al. An evaluation study of the didactic quality of clerkships. Medical Education [Internet]. 2000;34:460-4.

Karani R, Fromme HB, Cayea D, et al. How medical students learn from residents in the workplace: A qualitative study. Academic Medicine [Internet]. 2014;89:490-6.

Strenszus R, Cruess S, Cruess R, et al. Resident as role models: Impact on undergraduate trainees. Academic Medicine [Internet]. 2012;87:1282-7.

Hafferty FW. Beyond currilum reform: Confronting medicine’s hidden curriculum. Academic Medicine [Internet]. 1998;73(4):403-7.

Passi V, Johnson S, Peile E, et al. Doctor role modelling in medical education: BEME Guide No.27. Medical Teacher [Internet]. 2013;35:1422-36.



DOI: https://doi.org/10.22146/jpki.41845

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