Formal SAT programs exist for 43 of 99 U.S. medical school respondents. Such programs should be instituted in all schools that use their students as teachers. National teaching competencies, best curriculum methods, and best methods to conduct skills reinforcement need to be determined. Finally, the SAT programs' impacts on patient care, on selection decisions of residency directors, and on residents' teaching effectiveness are areas for future research.
A large percentage of faculty lack the vitality essential to meeting the AHC missions of discovery, education, and patient care. Enhancing faculty vitality, and AHC resilience, requires more attention to strengthening relationships, improving the misalignment between faculty and institutional values, and improving work-life integration.
In a national survey of faculty of US AHCs, mentoring was frequently inadequate and this was associated with faculty contemplating leaving their institutions. Positive mentoring, although less prevalent, was associated with many other positive dimensions of AHCs.
Individualized learning is a fundamental tenet of the Carnegie Foundation's new recommendations for physician training. A primary goal of Mount Sinai School of Medicine's new curriculum is to train self-directed physicians who have mastered lifelong learning skills. The Individual Scholarly Project and Independent Research Experience (INSPIRE) was created to enable fourth-year students to conduct mentored, independent scholarly projects to develop critical thinking skills and intellectual independence. Four students were accepted into the 2008 12-week pilot. Two did clinical research, 1 conducted medical education research, and 1 continued a basic science project. INSPIRE featured weekly sessions in which students shared their progress, heard about the careers of physician-scientists, and participated in presentation skills workshops. Mentors gave feedback using a form based on the program goals. Anonymous evaluations showed that all participants believed their goals were successfully fulfilled, that the likelihood of including research in their careers increased, and that they felt more skilled at writing abstracts and presenting their work orally. Students agreed that INSPIRE was a valuable opportunity for acquiring in-depth knowledge on a topic and building research and presentation skills. Helping students shape an individualized scholarly experience may help to produce doctors who are self-directed, are personally fulfilled, are able to serve society with diverse expertise, and have the tools to become leaders in their fields.
The C-Change Medical Student Survey is a practical, reliable, and valid instrument for assessing the learning environment of medical students. Because it is sensitive to changes over time and differences across institution, results could potentially be used to facilitate and monitor improvements in the learning environment of medical students.
BACKGROUND:Residents are often dissatisfied with feedback received on the wards, and hospital attendings are often uncomfortable and unskilled at giving feedback.
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