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      Identifying teaching competencies for medical residents using a modified Delphi method

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          Abstract

          Purpose

          This study aimed to identify the teaching competencies of medical residents.

          Methods

          A modified Delphi study was conducted from January to March 2017. Twenty-four panelists (six medical educators, program directors, chief residents, and residents each) from various facilities in Japan participated in the study. The consensus criterion for this study was that more than 80% of the panelists gave a rating of 6 or higher on the 7-point Likert scale (“not at all important” to “extremely important”) without any comments. The modified Delphi approach resulted in a list of 27 resident teaching competencies after three rounds. These competencies were categorized based on Harden and Crosby’s 12 roles of medical teachers.

          Results

          Our study revealed that, of the 12 roles, residents were primarily viewed as “clinical or practical teachers,” “teaching role models,” “on-the-job role models,” “learning facilitators,” and “student assessors.”

          Conclusion

          The 27 resident teaching competencies indicate the importance of educational proximity for residents as teachers. It is expected that this finding will contribute to competency-based resident-as-teacher education.

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          Most cited references31

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          The assessment of clinical skills/competence/performance

          G E Miller (1990)
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            Peer teaching in medical education: twelve reasons to move from theory to practice.

            To provide an estimation of how often peer teaching is applied in medical education, based on reports in the literature and to summarize reasons that support the use of this form of teaching. We surveyed the 2006 medical education literature and categorised reports of peer teaching according to educational distance between students teaching and students taught, group size, and level of formality of the teaching. Subsequently, we analysed the rationales for applying peer teaching. Most reports were published abstracts in either Medical Education's annual feature 'Really Good Stuff' or the AMEE's annual conference proceedings. We identified twelve distinct reasons to apply peer teaching, including 'alleviating faculty teaching burden', 'providing role models for junior students', 'enhancing intrinsic motivation' and 'preparing physicians for their future role as educators'. Peer teaching appears to be practiced often, but many peer teaching reports do not become full length journal articles. We conclude that specifically 'near-peer teaching' appears beneficial for student teachers and learners as well as for the organisation. The analogy of the 'journeyman', as intermediate between 'apprentice' and 'master', with both learning and teaching tasks, is a valuable but yet under-recognized source of education in the medical education continuum.
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              Understanding the experience of being taught by peers: the value of social and cognitive congruence.

              Medical schools use supplemental peer-teaching programs even though there is little research on students' actual experiences with this form of instruction. To understand the student experience of being taught by peers instead of by faculty. We conducted focus groups with first- and second-year medical students participating in a supplemental peer-teaching program at one institution. From the learner focus group themes, we developed a questionnaire and surveyed all first-year students. Focus groups revealed four learner themes: learning from near-peers, exposure to second-year students, need for review and synthesis, teaching modalities and for the peer-teachers, the theme of benefits for the teacher. Factor analysis of the survey responses resulted in three factors: second-year students as teachers, the benefit of peer-teachers instead of faculty, and the peer-teaching process. Scores on these factors correlated with attendance in the peer-teaching program (P < .05). Students valued learning from near-peers because of their recent experience with the materials and their ability to understand the students' struggles in medical school. Students with the highest participation in the program valued the unique aspects of this kind of teaching most. Areas for improvement for this program were identified.
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                Author and article information

                Journal
                Korean J Med Educ
                Korean J Med Educ
                KJME
                Korean Journal of Medical Education
                Korean Society of Medical Education
                2005-727X
                2005-7288
                March 2024
                28 February 2024
                : 36
                : 1
                : 51-63
                Affiliations
                [1 ]Osaka Medical and Phermaceutical University, Osaka, Japan
                [2 ]Brigham and Women's Hospital, Boston, MA, US
                [3 ]Kyushu University, Fukuoka, Japan
                Author notes
                Corresponding Author: Tadayuki Hashimoto ( https://orcid.org/0000-0002-9723-3550) Osaka Medical and Phermaceutical University, Daigakumachi 2-7, Osaka, Japan Tel: +81.72.683.1221 Fax: +81.72.682.3822 email: tadayuki.hashimoto@ 123456ompu.ac.jp
                Author information
                http://orcid.org/0000-0002-9723-3550
                http://orcid.org/0000-0002-7903-6430
                Article
                kjme-2024-284
                10.3946/kjme.2024.284
                10925810
                38462242
                f0785064-76e2-41c0-aef7-c0be048a3cf0
                © The Korean Society of Medical Education.

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 6 July 2023
                : 18 October 2023
                : 11 December 2023
                Categories
                Original Research

                delphi technique,teaching,junior physician,attending physicians,competency-based education

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