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Psychiatry Residents as Medical Student Educators: a Review of the Literature

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Abstract

Objective

Professional organizations and medical schools need trainees as medical student educators. There are limited data describing the training of residents and fellows as educators. There are also limited data describing the impact of trainee educators on medical student performance and clerkship experience.

Methods

A narrative literature search was done in PubMed, Embase, and PsychINFO from inception to January 1, 2021, to explore the approaches, methods, and outcomes (e.g., potential benefits) of psychiatric trainees as medical student educators. A total of 630 papers were screened using title and abstract, of which 20 met inclusion criteria. Studies were categorized into four quality tiers based on methodology.

Results

Studies described how training programs utilized trainees as student educators, and various methods of teaching instruction. Residents and fellows valued being educators and reported these experiences increased teaching abilities. Medical students rated trainee educators well. Resident-led teaching initiatives were associated with increased exam scores in one study. Data were limited by low survey response rates, qualitative (i.e., subjective) inquiry, and heterogeneity in teaching and training modalities.

Conclusions

Due to a lack of high-quality studies, definitive conclusions cannot be drawn about the effectiveness of psychiatry trainees as medical educators nor about how to best train them as educators. Nevertheless, literature suggests that incorporating trainees as educators both augments resident and fellow training and enhances medical student experience and performance. Future research should assess needs and standardize methods, curricula, and outcome measures more systematically.

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References

  1. Accreditation Counsel for Graduate Medical Education. Common Program Requirements 2019. https://www.acgme.org/What-We-Do/Accreditation/Common-Program-Requirements. Date of access: November 19, 2020.

  2. Liaison Committee on Medical Education. Functions and structure of a medical school: standards for accreditation of medical education programs leading to the MD degree. 2019. https://lcme.org/publications/. Date of access: November 19, 2020.

  3. American Association of Medical Colleges. Results of the 2018 Medical School Enrollment Survey. 2019. https://store.aamc.org/downloadable/download/sample/sample_id/287/. Date of access: November 19, 2020.

  4. Ghatavi K, Waisman Z. Teaching medical students about personality disorders and psychotherapeutic principles: a resident pilot initiative. Acad Psychiatry. 2006;30(2):178–9.

    Article  Google Scholar 

  5. Busari JO, Prince KJ, Scherpbier AJ, Van Der Vleuten CP, Essed GG. How residents perceive their teaching role in the clinical setting: a qualitative study. Med Teach. 2002;24(1):57–61.

    Article  Google Scholar 

  6. Hickie C, Nash L, Kelly B. The role of trainees as clinical teachers of medical students in psychiatry. Australas Psychiatry. 2013;21(6):583–6.

    Article  Google Scholar 

  7. Accreditation Counsel for Graduate Medical Education and The American Board of Psychiatry and Neurology. The Psychiatry Milestones Project. 2015. http://www.acgme.org/Portals/0/PDFs/Milestones/PsychiatryMilestones.pdf. Date of access: November 19, 2020.

  8. Association of American Medical Colleges. Medical School Graduation Questionnaire: 2018 All Schools Summary Report. 2018. https://www.aamc.org/media/9386/download. Date of access: November 19, 2020.

  9. Association of American Medical Colleges. Medical School Graduation Questionnaire: 2012 All Schools Summary Report. 2012. https://www.aamc.org/data-reports/students-residents/report/graduation-questionnaire-gq. Date of access: December 8, 2019.

  10. Schowalter JE. Child psychiatry program directors’ ratings of residency experiences. J Am Acad Child Adolesc Psychiatry. 1989;28(1):124–9.

    Article  CAS  Google Scholar 

  11. Morrison EH, Friedland JA, Boker J, Rucker L, Hollingshead J, Murata P. Residents-as-teachers training in U.S. residency programs and offices of graduate medical education. Acad Med. 2001;76(10 Suppl):S1–4.

    Article  CAS  Google Scholar 

  12. Brand MW, Ekambaram V, Tucker P, Aggarwal R. Residents as teachers: psychiatry and family medicine residents’ self-assessment of teaching knowledge, skills, and attitudes. Acad Psychiatry. 2013;37(5):313–6.

    Article  Google Scholar 

  13. Ivany CG, Russell RK, Vanessa VA, Saito AY. Academic training in a child and adolescent psychiatry fellowship: a curriculum based on leadership experience. Acad Psychiatry. 2008;32(5):386–92.

    Article  Google Scholar 

  14. Goldenberg MN, Williams DK, Spollen JJ. Stability of and factors related to medical student specialty choice of psychiatry. Am J Psychiatry. 2017;174(9):859–66.

    Article  Google Scholar 

  15. Lyons Z, Janca A. Impact of a psychiatry clerkship on stigma, attitudes towards psychiatry, and psychiatry as a career choice. BMC Med Educ. 2015;15(1):34.

    Article  Google Scholar 

  16. Spollen JJ, Beck Dallaghan GL, Briscoe GW, Delanoche ND, Hales DJ. Medical school factors associated with higher rates of recruitment into psychiatry. Acad Psychiatry. 2017;41(2):233–8.

    Article  Google Scholar 

  17. Seow LSE, Chua BY, Mahendran R, Verma S, Ong HL, Samari E, et al. Psychiatry as a career choice among medical students: a cross-sectional study examining school-related and non-school factors. BMJ Open. 2018;8(8):e022201.

    Article  Google Scholar 

  18. Petkari E, Masedo Gutierrez AI, Xavier M, Moreno Kustner B. The influence of clerkship on students’ stigma towards mental illness: a meta-analysis. Med Educ. 2018;52(7):694–704.

    Article  Google Scholar 

  19. Dewey CM, Coverdale JH, Ismail NJ, Culberson JW, Thompson BM, Patton CS, et al. Residents-as-teachers programs in psychiatry: a systematic review. Can J Psychiatry. 2008;53(2):77–84.

    Article  Google Scholar 

  20. Naji SA, Maguire GP, Fairbairn SA, Goldberg DP, Faragher EB. Training clinical teachers in psychiatry to teach interviewing skills to medical students. Med Educ. 1986;20(2):140–7.

    Article  CAS  Google Scholar 

  21. Grady-Weliky TA, Chaudron LH, Digiovanni SK. Psychiatric residents’ self-assessment of teaching knowledge and skills following a brief “psychiatric residents-as-teachers” course: a pilot study. Acad Psychiatry. 2010;34(6):442–4.

    Article  Google Scholar 

  22. Katzelnick DJ, Gonzales JJ, Conley MC, Shuster JL, Borus JF. Teaching psychiatric residents to teach. Acad Psychiatry. 1991;15(3):153–9.

    Article  CAS  Google Scholar 

  23. Lehmann SW. A longitudinal “teaching-to-teach” curriculum for psychiatric residents. Acad Psychiatry. 2010;34(4):282–6.

    Article  Google Scholar 

  24. Tobia A, Bhatt S, Grigo H, Katsamanis M. Teaching housestaff to enhance student education with the use of fantasy sports (THESEUS). Acad Psychiatry. 2013;37(1):60–2.

    Article  Google Scholar 

  25. Aboul-Fotouh F, Asghar-Ali AA. Therapy 101: a psychotherapy curriculum for medical students. Acad Psychiatry. 2010;34(4):248–52.

    Article  Google Scholar 

  26. Daniels-Brady C, Rieder R. An assigned teaching resident rotation. Acad Psychiatry. 2010;34(4):263–8.

    Article  Google Scholar 

  27. Philip NS, Rost-Banik D, Shaffer S, Johnson B, Boland R. Supportive psychotherapy: a crash course for medical students. Acad Psychiatry. 2010;34(1):57–60.

    Article  Google Scholar 

  28. Polan HJ. Experiential anamnesis and group consensus: an innovative method to teach residents to teach. Acad Psychiatry. 2010;34(4):287–90.

    Article  Google Scholar 

  29. Ravindranath D, Gay TL, Riba MB. Trainees as teachers in team-based learning. Acad Psychiatry. 2010;34(4):294–7.

    Article  Google Scholar 

  30. Roman B, Khavari A, Hart D. The Education Chief Resident in Medical Student Education: indicators of success. Acad Psychiatry. 2010;34(4):253–7.

    Article  Google Scholar 

  31. Swainson J, Marsh M, Tibbo PG. Psychiatric residents as teachers: development and evaluation of a teaching manual. Acad Psychiatry. 2010;34(4):305–9.

    Article  Google Scholar 

  32. McKean AJ, Palmer BA. Psychiatry resident-led tutorials increase medical student knowledge and improve national board of medical examiners shelf exam scores. Acad Psychiatry. 2015;39(3):309–11.

    Article  CAS  Google Scholar 

  33. Hickie C, Kelly B, Nash L. Development and use of scripted filmed scenarios to teach the one-minute preceptor model. Acad Psychiatry. 2017;41(1):110–3.

    Article  Google Scholar 

  34. Schwartz AC, Cotes RO, Kim J, Ward MC, Manning KD. Bite-sized teaching: engaging the modern learner in psychiatry. Acad Psychiatry. 2019;43(3):315–8.

    Article  Google Scholar 

  35. Steinmann ME, Case GA, Ferrell S. Preclinical medical student attitudes toward use of psychiatry residents as actors in a suicide and violence risk assessment simulation activity. Acad Psychiatry. 2019;43(4):451–4.

    Article  Google Scholar 

  36. Martins AR, Arbuckle MR, Rojas AA, Cabaniss DL. Growing Teachers: using electives to teach senior residents how to teach. Acad Psychiatry. 2010;34(4):291–3.

    Article  Google Scholar 

  37. Dang K, Waddell AE, Lofchy J. Teaching to teach in Toronto. Acad Psychiatry. 2010;34(4):277–81.

    Article  Google Scholar 

  38. Tsao CI. One-Minute Preceptor model: brief description and application in psychiatric education. Acad Psychiatry. 2010;34(4):317–8.

    Article  Google Scholar 

  39. Crisp-Han H, Chambliss RB, Coverdale J. Teaching psychiatry residents to teach: a national survey. Acad Psychiatry. 2013;37(1):23–6.

    Article  Google Scholar 

  40. Al Achkar M, Hanauer M, Morrison EH, Davies MK, Oh RC. Changing trends in residents-as-teachers across graduate medical education. Adv Med Educ Pract. 2017;8:299–306.

    Article  Google Scholar 

  41. Srinivasan M, Li ST, Meyers FJ, Pratt DD, Collins JB, Braddock C, et al. “Teaching as a Competency”: competencies for medical educators. Acad Med. 2011;86(10):1211–20.

    Article  Google Scholar 

  42. Kern DE, Thomas PA, Hughes MT. Curriculum development for medical education: a six-step approach. 2nd ed. Baltimore: Johns Hopkins University Press; 2009.

    Google Scholar 

  43. Pratt DD. Five perspectives on teaching in adult and higher education. Krieger Pub Co: Malabar; 1998.

    Google Scholar 

  44. Kolb DA. Experiential learning: experience as the source of learning and development. Englewood Cliffs: Prentice-Hall; 1984.

    Google Scholar 

  45. Kirkpatrick J, Kirkpatrick WK. The Kirkpatrick four levels: a fresh look after 50 years, 1959-2009. Kirkpatrick Partners, LLC: Atlanta; 2009.

    Google Scholar 

  46. Jibson MD, Hilty DM, Arlinghaus K, Ball VL, McCarthy T, Seritan AL, et al. Clinician-educator tracks for residents: three pilot programs. Acad Psychiatry. 2010;34(4):269–76.

    Article  Google Scholar 

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Authors and Affiliations

  1. Mayo Clinic Rochester, Rochester, MN, USA

    Megan D. Chochol, Melanie Gentry & Alastair J. McKean

  2. University of California Davis School of Medicine, Sacramento, CA, USA

    Donald M. Hilty

Authors
  1. Megan D. Chochol
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  2. Melanie Gentry
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  3. Donald M. Hilty
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Correspondence to Alastair J. McKean.

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Alastair J. McKean is the Psychiatry Clerkship Director. The other authors have no conflict of interest.

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Chochol, M.D., Gentry, M., Hilty, D.M. et al. Psychiatry Residents as Medical Student Educators: a Review of the Literature. Acad Psychiatry 46, 475–485 (2022). https://doi.org/10.1007/s40596-021-01478-z

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  • DOI: https://doi.org/10.1007/s40596-021-01478-z

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