title: Integrating teaching skills and clinical content in a faculty development workshop.
abstract: Incorporating clinical content into medical education faculty development programs has been proposed as a strategy to consolidate faculty continuing medical education time and enhance learning. We developed a faculty development program for ambulatory internal medicine preceptors that integrated primary care genetics with ambulatory precepting. The instructional strategies addressed both areas simultaneously and included facilitated discussions, mini-lectures, trigger tapes, and role plays. To evaluate the program, we conducted a pre-post trial. Skills were measured by retrospective pre-post self-reported ratings and behaviors by self-reported implementation of commitment to change (CTC) statements. Participants' (N = 26) ambulatory precepting and primary care genetics skill ratings improved after the intervention. They listed an average of 2.4 clinical teaching CTC statements and 2.0 clinical practice CTC statements. By 3 months after the workshop, preceptors, as a group, fully implemented 32 (38%), partially implemented 35 (41%), and failed to implement 18 (21%) CTC statements. The most common barrier to clinical teaching change was insufficient skills (8 of 25; 32%) and to clinical practice change was lack of a suitable patient (15 of 25; 60%). Integrating clinical content with clinical teaching in a faculty development workshop is feasible, can improve clinical and teaching skills, and can facilitate behavior change.
authors.affiliation: Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. mgreen@wtbyhosp.chime.org
authors.forename: Michael L
authors.initials: ML
authors.lastname: Green
authors.forename: Cary P
authors.initials: CP
authors.lastname: Gross
authors.forename: Walter N
authors.initials: WN
authors.lastname: Kernan
authors.forename: Jeffrey G
authors.initials: JG
authors.lastname: Wong
authors.forename: Eric S
authors.initials: ES
authors.lastname: Holmboe
mesh_terms: D003479:Curriculum; D004493:Education; D004501:Education, Medical / Q000458:organization & administration*; D005180:Faculty, Medical; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D017145:Models, Educational; D011231:Preceptorship; D015397:Program Evaluation; D012189:Retrospective Studies; D013663:Teaching