Michele . Long,UC San Francisco,San Francisco,CA,Nicole . Paradise Black,University of Florida,Gainesville,FL,Jennifer Maniscalco,Keck School of Medicine,Los Angeles,CA,Marta King,St Louis University,St Louis,MO,Rebecca Blankenburg,Stanford,Palo Alto,CA,Mary Ottolini,Children's National Medical Center,Washington,D.C.,Erik Black,University of Florida,Gainesville,FL,H. Barrett Fromme,Pritzker,Chicago,IL
Pediatric hospitalists are teaching attendings for many learners, including third and fourth year medical students. A 2012 Pediatric Hospital Medicine (PHM) Education Task Force national needs assessment indicated that though most desire formal clinical teaching skills education, options for obtaining this training are limited. The Advancing Pediatric Educator eXcellence (APEX) Teaching Program was designed to bridge this gap.
Create a national novel blended curriculum to enhance pediatric hospitalist clinical teaching skills.
The 12-month AAP-sponsored curriculum consists of pre-session assignments, program-specific and elective workshops, quarterly interconference assignments, and direct observation of clinical teaching by a local mentor. The interactive program-specific workshops comprise two half-day pre-courses at consecutive PHM national conferences and focus on the learning environment, teaching strategies, feedback, and learners in difficulty. The quarterly assignments build upon workshop topics and include reading, teaching exercises, reflections, and asynchronous facilitated discussion using a Web-based platform. At least twice, a mentor with educational expertise will directly observe participants’ clinical teaching and provide feedback. During the second pre-course, participants will present a successful or innovative clinical teaching technique they have implemented. They will also co-facilitate the introductory workshops for the next cohort. The program is being evaluated with de-identified, linked: (1) retrospective pre/post knowledge and confidence evaluation; (2) structured clinical observation of teaching; and (3) overall program feasibility/satisfaction. Further evaluation is ongoing, including self-assessment with appropriate control/comparison questions and mentor assessments of the program.
Sixteen pediatric hospitalists from 15 different programs were selected through a competitive process and began the curriculum in July 2014. All completed retrospective pre/post assessments of teaching knowledge and confidence. The cohort showed statistically significant growth across all of the knowledge and confidence domains.
The APEX Teaching Program is an innovative multimodal curriculum to enhance the clinical teaching skills of pediatric hospitalists. Participants rate the course and its impact highly. With continued success, this national program may be modified to offer teaching skills training for clinician cohorts across specialties.