JGME-ALiEM Hot Topics in Medical Education Online Journal Club: An Analysis of a Virtual Discussion About Resident Teachers

摘要

Background? In health professionals' education, senior learners play a key role in the teaching of junior colleagues.;Objective? We describe an online discussion about residents as teachers to highlight the topic and the online journal club medium.;Methods? In January 2015, the Journal of Graduate Medical Education (JGME) and the Academic Life in Emergency Medicine blog facilitated an open-access, online, weeklong journal club on the JGME article “What Makes a Great Resident Teacher? A Multicenter Survey of Medical Students Attending an Internal Medicine Conference.” Social media platforms used to promote asynchronous discussions included a blog, a video discussion via Google Hangouts on Air, and Twitter. We performed a thematic analysis of the discussion. Web analytics were captured as a measure of impact.;Results? The blog post garnered 1324 page views from 372 cities in 42 countries. Twitter was used to endorse discussion points, while blog comments provided opinions or responded to an issue. The discussion focused on why resident feedback was devalued by medical students. Proposed explanations included feedback not being labeled as such, the process of giving delivery, the source of feedback, discrepancies with self-assessment, and threats to medical student self-image. The blog post resulted in a crowd-sourced repository of resident teacher resources.;Conclusions? An online journal club provides a novel discussion forum across multiple social media platforms to engage authors, content experts, and the education community. Crowd-sourced analysis of the resident teacher role suggests that resident feedback to medical students is important, and barriers to student acceptance of feedback can be overcome.;What was known and gap Residents play an important role in the education of junior learners, but receive limited training for this role.;What is new An online journal club facilitated discussion of a paper on medical student acceptance of resident feedback, with crowdsourced resources for residents as teachers.;Limitations Design does not allow for vetting of crowdsourced recommendations.;Bottom line Online journal club participants emphasized the importance of resident feedback, and provided resources for residents as teachers.;Introduction A physician is a teacher. A physician facilitates not only the education of patients, colleagues, and other health professionals, but physicians-in-training also serve an important role in the education of junior colleagues, including medical students. The CanMEDS framework1 and the Accreditation Council for Graduate Medical Education Outcome Project2 explicitly include the teacher role as a core competency for physicians. While North American medical education has historically emphasized clinically based (ie, bedside) teaching, the shift to competency-based medical education only further emphasizes the value of teaching in authentic (ie, clinical) environments.3 At times, the organization of clinical, administrative, and teaching responsibilities in academic centers frequently requires the partial delegation of teaching responsibilities from faculty to residents. As a result, senior residents have a significant influence on the learning of other trainees, such as junior residents and medical students.4 The influence of medical student and junior resident education provided by residents is reflected in the growing literature that addresses the design and impact of resident-as-teacher curricula.5–7 In fact, a recent Journal of Graduate Medical Education (JGME) article8 reported on “What Makes a Great Resident Teacher? A Multicenter Survey of Medical Students Attending an Internal Medicine Conference.” In January 2015, this article was the focus of an open-access, online, health professions education journal club hosted by JGME and the Academic Life in Emergency Medicine (ALiEM) blog. Here we describe the themes and summarize the virtual, multiplatform online discussion that arose during th