Enhancing Clinical Teaching in Critical Thinking, High-Value Care, and Health Care Equity. Issue 3 (2022)

• Record Type: Journal Article
• Authors: Sullivan, Amy M.; Beltran, Christine P.; Ranchoff, Brittany L.; Hayes, Margaret M.; Atkins, K. Meredith; Tibbles, Carrie D.; Cohen, Amy P.; Cohen, David A.; Huang, Grace C.; Schwartzstein, Richard M.
• Is Part Of: Journal of continuing education in the health professions. Volume 42:Issue 3(2022)
• Page Start: 164
• Page End: 173
• Publication Date: 2022
• Subjects: faculty development -- continuing medical education -- clinical teaching -- critical thinking -- health care equity -- high-value care; Medicine -- Study and teaching (Continuing education) -- Periodicals; Paramedical education -- Periodicals; Medical education -- Periodicals; 610.7
• DOI: 10.1097/CEH.0000000000000441
• Languages: English
• ISSNs: 0894-1912

Abstract

Abstract : Supplemental Digital Content is Available in the Text. Abstract : Introduction: Faculty development in the clinical setting is challenging to implement and assess. This study evaluated an intervention (IG) to enhance bedside teaching in three content areas: critical thinking (CT), high-value care (HVC), and health care equity (HCE). Methods: The Communities of Practice model and Theoretical Domains Framework informed IG development. Three multidepartmental working groups (WGs) (CT, HVC, HCE) developed three 2-hour sessions delivered over three months. Evaluation addressed faculty satisfaction, knowledge acquisition, and behavior change. Data collection included surveys and observations of teaching during patient care. Primary analyses compared counts of post-IG teaching behaviors per hour across intervention group (IG), comparison group (CG), and WG groups. Statistical analyses of counts were modeled with generalized linear models using the Poisson distribution. Results: Eighty-seven faculty members participated (IG n = 30, CG n = 28, WG n = 29). Sixty-eight (IG n = 28, CG n = 23, WG n = 17) were observed, with a median of 3 observation sessions and 5.2 hours each. Postintervention comparison of teaching (average counts/hour) showed statistically significant differences across groups: CT CG = 4.1, IG = 4.8, WG = 8.2; HVC CG = 0.6, IG = 0.9, WG = 1.6; and HCE CG = 0.2, IG = 0.4, WG = 1.4 ( P < .001). Discussion: A faculty development intervention focused on teaching in the context of providing clinical care resulted in more frequent teaching of CT, HVC, and HCE in the intervention group compared with controls. WG faculty demonstrated highest teaching counts and provide benchmarks to assess future interventions. With the creation of durable teaching materials and a cadre of trained faculty, this project sets a foundation for infusing substantive content into clinical teaching.