Some people consider teaching and learning much more difficult than rocket science. 1 Teaching and learning is such a complex process that researchers are still having debates in different areas including: how it works, how to assess it, and how to research it. For the most part it is safe to presume that different people have different learning philosophies and this is, most likely, how they teach. 2 Because we are a product of our past and form strong habits, these might inadvertently impede the search of more effective and efficient educational activities. Research in education, just like research medical practice, may challenge our most held beliefs and bring to light better educational practices.
We are very excited this month to bring you our first ALiEM-Annals Resident’s Perspective discussion. Similar to the ALiEM-Annals Global EM Journal Club series, we will be discussing the most recent Resident’s Perspective piece on the role of Multiple Mini Interviews (MMI) in the EM residency selection process. We hope you will participate in an online discussion based on the paper summary and questions below from now through May 11, 2014. Respond by commenting below or tweeting (#ALiEMRP).
In this constantly evolving world of learner competencies, assessments, and milestones often is forgotten the important role of clinical teachers. We can all remember clinical instructors that stand out despite the grueling years of medical school and residency training. We admired them for various reasons and remember the insights and teaching pearls they bestowed upon us. But what exactly were the qualities that they possessed that other instructors did not have? What exactly did they have that made them a good clinical teacher in medicine?
Motivation is one of those important elements in our personalities that helps us have a drive for improvement. Motivation can come in two flavors internal and external. Self determination theory (SDT) is a psychological term which explains people’s internal motivation and determination to their behavior. Edward L. Deci and Richard M. Ryan explored SDT further and determined there were three basic needs in every human, which are universal, not learned, and seen across gender and culture.
As a new member of the ALiEM team, I am joining Dr. Salim Rezaie as the second member to be board certified in both Emergency Medicine and Internal Medicine. Since 2006, I have been asked numerous times, “Why EM/IM?” My answer is simple: I like both. But five years of residency and not be a surgeon? What can you do with this type of training?
Talking to colleagues is an essential skill especially as we advocate for our patients. We should not only know what’s going on with our patients, but also how to communicate our thoughts effectively and succinctly with our colleagues. In a great article by Dr. Chad Kessler et al 1 just published Academic Medicine, the authors state that although “communication skills may not develop naturally, [they] can be taught and fostered through evidence-based educational models.”
As I am getting into my 3rd year of practice as a faculty in Emergency Medicine and Internal Medicine, I have begun to wish I had a better framework for success in academic medicine. Currently, almost on a daily basis, I have to answer about 100 emails, decide if I want to be on different committees, develop curricula, give lectures, do research, work clinically, mentor residents/medical students, and have a work-life balance. Does this sound familiar, and at the same time overwhelming?
Recently I read several articles on this very topic and thought maybe I would give some perspective on useful strategies to succeed in academic medicine, get recognized, and still have that healthy work-life balance.(more…)