Author: Miloslavsky E and Puig A Publication Year: 2014
Summary: This study suggests that clinical fellows in Internal Medicine (IM) are a valuable but underutilized resource in the education of IM residents and identifies several barriers to effective resident-fellow teaching interactions.
Description: Background: Internal Medicine (IM) subspecialty fellows can serve as key educational resources to IM residents. Little is known about resident-fellow teaching interactions during inpatient consultation.

Methods: We conducted a survey of 163 IM residents in the Massachusetts General Hospital IM residency program to determine their perspectives on the resident-fellow teaching interaction.

Results: Ninety-three residents completed the survey (57% response rate) of whom 82% reported that they receive less teaching from fellows than they would like. Most respondents (87%) reported that they initiated the teaching interaction with fellows “some” or “most” of the time.
Residents perceived time constraints and obstacles to locating each other on the wards as the most important systems-based barriers to effective resident-fellow teaching interactions. Residents also identified barriers of perception as playing a role, such as fellows perceiving residents as being too busy to engage in teaching interactions.

Discussion: Clinical fellows in IM appear to be a valuable but underutilized resource in the education of IM residents. Several barriers to effective resident-fellow teaching interactions were identified that may be amenable to intervention. The relationship between IM residents and fellows requires further study to maximize the resident-fellow teaching dyad.

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