Implementation, Evaluation, and Improvement of Pediatrics Residents-as-Teachers Elective Through Iterative Feedback

  • Sonya Tang GirdwoodEmail author
  • Jennifer Treasure
  • Matthew Zackoff
  • Melissa Klein
Short Communication


Many residency programs have developed residents-as-teachers (RAT) programs to provide training for residents to learn teaching skills, but few programs are designed based upon an underlying conceptual framework or demonstrate outcomes. In 2015, our residency program implemented a new RAT elective based on Kolb’s experiential learning cycle. After completion of the elective, residents reported improved skills in topics that associated didactic learning with active experimentation. Curricular changes were incorporated based on feedback from residents to course directors about each session, and content was tailored to the residents’ individualized learning goals.


Residents-as-teachers curricula Kolb’s experiential cycle Pediatric residency Iterative feedback 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval of Research Involving Human Participants

This study was approved by the Cincinnati Children’s Hospital Medical Center Institutional Review Board. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Accreditation Council for Graduate Medical Education. Common program requirements. 2018. Accessed June 28 2018.
  2. 2.
    Krzyzaniak SM, Cherney A, Messman A, Natesan S, Overbeck M, Schnapp B, et al. Curated collections for educators: five key papers about residents as teachers curriculum development. Cureus. 2018;10(2):e2154. Scholar
  3. 3.
    Mann KV, Sutton E, Frank B. Twelve tips for preparing residents as teachers. Med Teach. 2007;29(4):301–6. Scholar
  4. 4.
    Ramani S, Mann K, Taylor D, Thampy H. Residents as teachers: near peer learning in clinical work settings: AMEE guide no. 106. Med Teach. 2016;38(7):642–55. Scholar
  5. 5.
    Ostapchuk M, Patel PD, Miller KH, Ziegler CH, Greenberg RB, Haynes G. Improving residents’ teaching skills: a program evaluation of residents as teachers course. Med Teach. 2010;32(2):e49–56. Scholar
  6. 6.
    Kolb DA. Experiential learning: experience as the source of learning and development. Englewood Cliffs, New Jersey: Prentice-Hall, Inc; 1984.Google Scholar
  7. 7.
    Leung FH, Martin D, Batty H. A theory-based curriculum design for remediation of residents’ communication skills. Med Teach. 2009;31(12):e555–9. Scholar
  8. 8.
    Aukes LC, Geertsma J, Cohen-Schotanus J, Zwierstra RP, Slaets JP. The effect of enhanced experiential learning on the personal reflection of undergraduate medical students. Med Educ Online. 2008;13:15. Scholar
  9. 9.
    Dornan T, Littlewood S, Margolis SA, Scherpbier A, Spencer J, Ypinazar V. How can experience in clinical and community settings contribute to early medical education? A BEME systematic review. Med Teach. 2006;28(1):3–18. Scholar
  10. 10.
    Howard GS. Response-shift bias: a problem in evaluating interventions with pre/post self-reports. Eval Rev. 1980;4(1):93–106.CrossRefGoogle Scholar
  11. 11.
    Craig P, Bandaranayake R. Experiences with a method for obtaining feedback on a medical curriculum undergoing change. Med Educ. 1993;27(1):15–21.CrossRefGoogle Scholar
  12. 12.
    Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in pediatrics. 2017. Accessed August 1 2018.

Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.Division of Hospital Medicine, Department of PediatricsCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Division of Hospital Medicine, Department of PediatricsCincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineCincinnatiUSA
  3. 3.Division of Critical Care Medicine, Department of PediatricsCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  4. 4.Division of General and Community Pediatrics, Department of PediatricsCincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineCincinnatiUSA

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