Academic medicine elective at Laval University

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Miriam Lacasse MD MSc CCFP, Mylène Guy MD, Marie-Hélène Dufour MD CCFP, Josette Castel MD MSc CCFPDépartement de médecine familiale et de médecine d'urgence, Université Laval , Quebec City, Canada

Academic medicine elective at Laval UniversityProgram description and curriculum evaluation preliminary results

BackgroundResidents often do not have opportunities to be guided in their exploration of the various spheres of academic medicine. This project aimed to develop, implement and evaluate a scholarship-based elective in academic medicine.

Curriculum descriptionA 4-week academic medicine elective based on socio-constructivist and humanist learning theories was designed to allow competency development under the scholar (research and teaching) and manager CanMEDs roles. Curriculum included workshops and individual work for a scholarship project development. The elective was implemented with 7 residents in July 2013.

Objectives

During this elective, the resident will:

> experiment the various steps of scholarly project planning;

> teach students and colleagues using effective strategies and adapting content to their needs;

> develop personal and interpersonal management/leadership skills.

Resources

Elective websiteMiriam Lacasse (2014), Scholarship in Academic Health Careers - A practical guide. Québec : Presses de l'Université Laval, 96 pages.Local experts and collaborators

Residents assessment

PortfolioCompetency-based in-training evaluation report

Program evaluationCurriculum evaluation based on the Kirkpatrick levels 1 (appreciation questionnaire), 2 (pre-post learning assessment) and 3 (pre-post intention for academic career) was performed. Analyses used descriptive but not inferential statistics because of the small sample size.

ConclusionThis academic medicine elective was highly appreciated and was associated with conside-rable learning outcomes, but a slightly lower interest for academic career 1 and 6 months after the elective.

The 2013 elective cohort of residents will be assessed for academic productivity and career choice 12 months after the elective to allow better assessment and understanding of this elective’s impact.

AcknowledgementsThanks to the Fonds de recherche et d’enseignement du Département de médecine familiale et de médecine d’urgence de l’Université Laval for their support in this project.

ReferencesKirkpatrick, D. L. (1994). Evaluating training programs: the four levels. San Francisco, CA: Berrett-Koehler Publishers.

Contact [email protected]

AppreciationScore 9,76/10

Most successful activities :- literature search and bibliographic software- teaching workshop (small group teaching, supervision)- academic career panel; residents presentations

Activities with suggested improvement :- workshop on personal management skills- workshop on statistical analyses

Knowledge / skills questionnaire score

Key concepts from the elective (number of occurences in content analysis)

- Scholarly work Concept of sholarship Scholarly project planning Political aspects of scholarship

- Education Teaching strategies

- Management Personal management skills Academic career planning

Attitude towards academic career (5-point Likert scale)

- Realistic- Demanding- Rewarding- Stimulating

Pre Post(1 month)

Post(6 month)

Pre Post(1 month)

Post(6 months)

Pre

49.9 %

---

-

--

68.6 %

461

3

14

920

1

16

39.2 %

---

-

--

4.574.004.574.71

4.294.294.574.86

4.004.144.284.57

4.834.174.674.67

Rotation (n=7)

Rotation (n=7)

Control (n=6)

Control (n=6)

Learning

Impact

Intention for academic career (5-point Likert scale)

Elective impact (number of occurences in content analysis)

Ongoing scholarly project (5)Modified teaching strategies (3)Increased networking (2)Improved self-management / leadership skills (3)Works in a scholarship perspective (2)Influence on career choice (1)

4.71 4.56 4.14

Pre

5.00

Theme

Scholarly projectplanning

Residentspresentations



Methods 1(qualitative)

Personnalmanagement skills

Academic career

Interpersonalmanagement skills

and leadership

Poster preparation

Personal / clinicalwork






orClinical supervision

(optional)


Academic medicineSymposium

+ evaluations

Manuscript review

Proposal writing

Conceptualframeworks

Abstract andtimeline

Clinical supervision

Measurement tools

Small groupteaching

Bibliographicsoftwares

Literature search

Scholarshipdissemination and

large groupteaching

Methods 2(quantitative)

Data analysis

Manuscript writing

Scholarly projectdevelopment

Scholarly projectmanagement and

results

Scholarly projectdissemination andreflexive critique

Monday Tuesday

Problem andResearch question

Orientation andintroduction

Wednesday Thursday FridayWeek

1

2

3

4

Legend: Reserach / Scholarly work Education Management

Documents

Academic medicine elective at Laval University