Journal of General Internal Medicine

, Volume 3, Supplement 1, pp S26–S33 | Cite as

Enhancing teaching effectiveness and vitality in the ambulatory setting

  • Kelley M. Skeff


Ambulatory care faculty are taking on a role of unprecedented importance. Development of methods to assist them in this important role is essential. I have not attempted to include all possible approaches to improve faculty effectiveness and enthusiasm in this paper. Nevertheless, I hope that the framework used in this article will provide a basis for thinking about the roles of ambulatory care faculty and the support system they need to remain effective and enthusiastic. These teachers are important to the changing field of medicine and medical education. They now deserve our attention.


Faculty Member General Internal Medicine Ambulatory Care Clinical Teaching Ambulatory Setting 
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  1. 1.
    Skeff KM. The evaluation of a method to improve the teaching performance of the attending physician. Am J Med 1983; 75:465–70PubMedCrossRefGoogle Scholar
  2. 2.
    Skeff KM, Campbell M, Stratos G. Process and product in clinical teaching: a correlational study. Proceedings: Research in Medical Education (RIME), 1985; 25–30Google Scholar
  3. 3.
    Skeff KM, Stratos G, Campbell M, Cooke M, Jones H. Evaluation of the seminar method for improving clinical teaching. J Gen Intern Med 1986; 1:315–22PubMedCrossRefGoogle Scholar
  4. 4.
    Berman J, Weise-Slater SM, Bergen MR, Skeff KM. House officers’ and independent observers’ ratings of clinical teaching. Clin Res 1987; 35:730AGoogle Scholar
  5. 5.
    Kosecoff J, Fink A, Brook RH, et al. General medical care and the education of internists in university hospitals. Ann Intern Med 1985; 102:250–7PubMedGoogle Scholar
  6. 6.
    Kantor SM, Griner PF. Educational needs in general internal medicine as perceived by prior residents. J Med Educ 1981; 56:748–56PubMedGoogle Scholar
  7. 7.
    Kroenke K. Ambulatory care: practice imperfect. Am J Med 1986; 80:339–42PubMedCrossRefGoogle Scholar
  8. 8.
    Mager RF. Preparing instructional objectives. Belmont, CA: Pitman Learning, Inc., 1984Google Scholar
  9. 9.
    Lipkin M, Quill TE, Napodano RJ. The medical interview: a core curriculum for residencies in internal medicine. Ann Intern Med 1984; 100:277–84PubMedGoogle Scholar
  10. 10.
    McClelland DC. Toward a theory of motive acquisition. Am Psychologist 1965; 20:321–33CrossRefGoogle Scholar
  11. 11.
    Jones JG, Cason GJ, Cason C. The acquisition of cognitive knowledge through clinic experiences. Med Educ 1986; 20:10–2PubMedCrossRefGoogle Scholar
  12. 12.
    Moore GT. HMO’s and medical education: fashioning a marriage. Health Affairs 1986: 147–53Google Scholar
  13. 13.
    Ende J, Pozen JT, Levinsky NG. Enhancing learning during a clinical clerkship: the value of a structured curriculum. J Gen Intern Med 1986; 1:232–7PubMedCrossRefGoogle Scholar
  14. 14.
    Skeff KM, Campbell M, Stratos G. Evaluation of attending physicians: three perspectives. Proceedings: Research in Medical Education (RIME), 1984; 277–81Google Scholar
  15. 15.
    Ende J. Feedback in clinical medical education. JAMA 1983; 520:777–81CrossRefGoogle Scholar
  16. 16.
    Skeff KM, Campbell M, Stratos G, Jones H, Cooke M. Attending physicians’ assessment of the seminar method for improving clinical teaching. J Med Educ 1984;59:944–50PubMedGoogle Scholar
  17. 17.
    Bland CJ, Schmitz CC. Faculty vitality on review: retrospect and prospect. Paper presented at the AERA Meeting, San Francisco, CA, 1986Google Scholar
  18. 18.
    Gjerde CL, Colombo SE. Promotion criteria: perceptions of faculty members and departmental chairmen. J Med Educ 1982; 57:157–62PubMedGoogle Scholar
  19. 19.
    Nelson WC. The AAC project on faculty development: content, process, and motivation in faculty renewal. Liberal Educ 1980;66:208–9Google Scholar
  20. 20.
    Bland CJ, Schmitz CC. Characteristics of the successful researcher and implications for faculty development. J Med Educ 1986; 27:307–10Google Scholar
  21. 21.
    Stritter FT, Baker RM, McGaghie WC. Congruence between residents’ and clinical instructors’ perceptions of teaching in outpatient care centres. Med Educ 1983; 17:385–9PubMedCrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 1988

Authors and Affiliations

  • Kelley M. Skeff
    • 1
  1. 1.Stanford University School of MedicineStanford

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