Journal of General Internal Medicine

, Volume 18, Issue 6, pp 468–474 | Cite as

Integrating teaching skills and clinical content in a faculty development workshop

  • Michael L. Green
  • Cary P. Gross
  • Walter N. Kernan
  • Jeffrey G. Wong
  • Eric S. Holmboe
Innovations In Education And Clinical Practice


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.

Key words

faculty development curriculum evaluation integration 


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Copyright information

© Society of General Internal Medicine 2003

Authors and Affiliations

  • Michael L. Green
    • 1
    • 2
  • Cary P. Gross
    • 1
  • Walter N. Kernan
    • 1
  • Jeffrey G. Wong
    • 1
    • 2
  • Eric S. Holmboe
    • 1
    • 2
  1. 1.Received from the Department of Internal MedicineYale University School of MedicineNew Haven
  2. 2.Waterbury and St. Mary’s HospitalsWaterbury

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