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Residents as Teachers: Analysis of Performance on End-of-Clerkship Questionnaire and Correlation with Graduation Questionnaire Outcomes

Background: Several reports indicate ObGyn medical education is one of the lowest-rated of third-year the core clerkships.  Resident teaching is among the lowest of the areas rated. Following our Department’s low rating in 2012-2013 we sought to determine how resident performance as teachers (RAT) changed after instituting a series of improvements, and to validate performance changes by correlation with student comments and GQ survey outcomes.

Methods: Medicine and ObGyn End of Clerkship survey responses to the statement “Residents were interested in teaching, spent time with students and treated students as valuable members of the health-care team” were collapsed into 2 groups (disagree or neutral, and agree or strongly agree) and compared using the Pearson Chi-Square Test. Differences between each year’s performance were considered significant if p < 0.05. Medicine clerkship responses served as a control.

Results: Medicine resident teaching performance did not change over 4-years. ObGyn performance was significantly lower than Medicine in the first year of evaluation and dropped further in the 2nd year. Following initiation of a RAT program, ObGyn performance improved significantly and correlated with an improvement in GQ performance. Typical student responses include “I found this a great opportunity to get a lot of hands-on experience and the residents I worked with were exceptional” and “Fantastic learning experience, feel lucky to have had the opportunity and a wonderful resident supervisor.”

Discussions: Student rating of resident teaching performance improved significantly after instituting a RAT program, demonstrating that teaching performance can improve.

Topics: CREOG & APGO Annual Meeting, 2017, Resident, Faculty, Clerkship Director, Residency Director, Professionalism, Interpersonal & Communication Skills, GME, UME, Assessment,