A needs assessment of surgical residents as teachers.
OBJECTIVE
To determine the needs of surgical residents as teachers of clinical clerks.


METHODS
A needs assessment survey.


METHODS
Department of Surgery, University of Toronto.


METHODS
Clinical clerks and surgical residents and staff surgeons.


METHODS
Three stakeholder groups were defined: staff surgeons, surgical residents and clinical clerks. Focus-group sessions using the nominal group technique identified key issues from the perspectives of clerks and residents. Resulting information was used to develop needs assessment surveys, which were administered to 170 clinical clerks and 190 surgical residents. Faculty viewpoints were assessed with semi-structured interviews. Triangulation of these 3 data sources provided a balanced approach to identifying the needs of surgical residents as teachers.


RESULTS
Response rates were 64% for clinical clerks and 66% for surgical residents. Five staff surgeons were interviewed. Consensus was noted among the stakeholder groups regarding the importance of staff surgeon role modelling and feedback, resident attitude, time management, knowledge of clerks' formal learning objectives, and appropriate times and locations for teaching. Discrepancies included a significant difference in opinion regarding the residents' capacity to address clerks' individual learning needs and to foster good team relationships. Residents indicated that they did not receive regular feedback regarding their teaching and that staff did not place an emphasis on their teaching role.


CONCLUSIONS
This study has, from a multi-source perspective, assessed the needs of surgical residents as teachers. These needs include enhancing residents' education regarding how and what to teach medical students on a surgical rotation, and a need for staff surgeons to increase feedback to residents regarding their teaching.
Rotenberg
B W
BW
Division of Orthopedic Surgery, Mount Sinai Hospital, University of Toronto, Ont.
Woodhouse
R A
RA
Gilbart
M
M
Hutchison
C R
CR
D002982:Clinical Clerkship; D003479:Curriculum; D004503:Education, Medical, Graduate; D005180:Faculty, Medical; D005246:Feedback; D017144:Focus Groups; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D020380:Needs Assessment; D011785:Quality Assurance, Health Care