Literature DB >> 21035768

Improving education under work-hour restrictions: comparing learning and teaching preferences of faculty, residents, and students.

Megan C Jack1, Sonya B Kenkare, Benjamin R Saville, Stephanie K Beidler, Sam C Saba, Alisha N West, Michael S Hanemann, John A van Aalst.   

Abstract

BACKGROUND: Faced with work-hour restrictions, educators are mandated to improve the efficiency of resident and medical student education. Few studies have assessed learning styles in medicine; none have compared teaching and learning preferences. Validated tools exist to study these deficiencies. Kolb describes 4 learning styles: converging (practical), diverging (imaginative), assimilating (inductive), and accommodating (active). Grasha Teaching Styles are categorized into "clusters": 1 (teacher-centered, knowledge acquisition), 2 (teacher-centered, role modeling), 3 (student-centered, problem-solving), and 4 (student-centered, facilitative). STUDY
DESIGN: Kolb's Learning Style Inventory (HayGroup, Philadelphia, Pennsylvania) and Grasha-Riechmann's TSS were administered to surgical faculty (n = 61), residents (n = 96), and medical students (n = 183) at a tertiary academic medical center, after informed consent was obtained (IRB # 06-0612). Statistical analysis was performed using χ(2) and Fisher exact tests.
RESULTS: Surgical residents preferred active learning (p = 0.053), whereas faculty preferred reflective learning (p < 0.01). As a result of a comparison of teaching preferences, although both groups preferred student-centered, facilitative teaching, faculty preferred teacher-centered, role-modeling instruction (p = 0.02) more often. Residents had no dominant teaching style more often than surgical faculty (p = 0.01). Medical students preferred converging learning (42%) and cluster 4 teaching (35%). Statistical significance was unchanged when corrected for gender, resident training level, and subspecialization.
CONCLUSIONS: Significant differences exist between faculty and residents in both learning and teaching preferences; this finding suggests inefficiency in resident education, as previous research suggests that learning styles parallel teaching styles. Absence of a predominant teaching style in residents suggests these individuals are learning to be teachers. The adaptation of faculty teaching methods to account for variations in resident learning styles may promote a better learning environment and more efficient faculty-resident interaction. Additional, multi-institutional studies using these tools are needed to elucidate these findings fully.
Copyright © 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

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Year:  2010        PMID: 21035768     DOI: 10.1016/j.jsurg.2010.07.001

Source DB:  PubMed          Journal:  J Surg Educ        ISSN: 1878-7452            Impact factor:   2.891


  10 in total

1.  Bench and bedside? Surgeons' views on the role of research in surgical training.

Authors:  H M Mohan; J M O'Riordan; D Collins; D B O'Connor; O Traynor; D C Winter
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2.  Randomized controlled trial of spaced education for pediatric residency education.

Authors:  Erin F Mathes; Ilona J Frieden; Christine S Cho; Christy Kim Boscardin
Journal:  J Grad Med Educ       Date:  2014-06

Review 3.  What effects have resident work-hour changes had on education, quality of life, and safety? A systematic review.

Authors:  Joshua D Harris; Greg Staheli; Lance LeClere; Diana Andersone; Frank McCormick
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4.  Development of a Surgical Video Atlas for Resident Education: 3-Year Experience.

Authors:  C Scott Brown; Calhoun D Cunningham; Walter T Lee; Liana Puscas
Journal:  OTO Open       Date:  2020-07-14

Review 5.  Creating a surgery clerkship in a changing environment: reality, simulation, and the rules of engagement.

Authors:  Leigh V Evans; Richard J Gusberg
Journal:  Yale J Biol Med       Date:  2012-03-29

6.  Educational Resource Utilization by Current Orthopaedic Surgical Residents: A Nation-wide Survey.

Authors:  Miranda J Rogers; Michelle Zeidan; Zachary S Flinders; Angela P Presson; Robert Burks
Journal:  J Am Acad Orthop Surg Glob Res Rev       Date:  2019-04-30

7.  Short-term training of upper gastrointestinal endoscopy for resident doctors in Sotogahama Central Hospital in Aomori, Japan.

Authors:  Takako Soma; Yuichi Sakamoto; Yasufumi Matsuoka; Tomoko Nakano; Masatoshi Kamiuttanai; Masaki Akiyama
Journal:  Adv Med Educ Pract       Date:  2013-07-09

Review 8.  Different aspects of informed consent in aesthetic surgeries.

Authors:  Nasrin Nejadsarvari; Ali Ebrahimi
Journal:  World J Plast Surg       Date:  2014-07

Review 9.  Active Learning in Medical Education: Application to the Training of Surgeons.

Authors:  Jessica G Y Luc; Mara B Antonoff
Journal:  J Med Educ Curric Dev       Date:  2016-05-04

10.  Maximizing Plastic Surgery Education Impact: Lessons from Resident Learning Styles and Experiential Learning Theory.

Authors:  Francesca Y L Saldanha; Heather A Levites; Steven J Staffa; Christopher Roussin; Alexander C Allori; Carolyn R Rogers-Vizena
Journal:  Plast Reconstr Surg Glob Open       Date:  2019-07-24
  10 in total

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