Near Peers: Residents as Teachers in a Pre-Clinical

Patient Safety Course

Anne C. Gill, DrPHElizabeth A. Nelson, MD

Sally R. Raty, MDCayla R. Teal, PhD

Educational Innovations DayApril 30, 2014

Need

• Develop and implement a new Patient Safety Course for 2nd year medical students

• Identify goals and objectives

• Identify core curriculum

• Identify teaching modalities and strategies

• Recruit content experts and teaching faculty

• Develop course evaluation

Description of Project

• Y1-Modified team-learning methodology; Student peer TA’s

• Y2- Modified team-learning; Resident facilitators

• Y3- Small group discussion; Resident small group leaders

How is this innovative?

• Residents are an untapped resource for teaching in the preclinical years

• Residents receive training in patient safety

• Residents receive training in educational instruction and the opportunity to apply teaching skills

Modified Team

Learning

Modified Team

Learning

5.5

4.5

5.0

Overall Quality

Year 2Resident Small Group

Facilitators

Year 1Peer TA Monitors

Year 3Resident Small Group

Leaders

Small Groups

Patient Safety Course Year 1-3: Teaching Strategies

Results 2013

2012Patient Safety Course Evaluation Y1  Y2 Y3

Question (Scale 1-7) 2011 2012 2013The overall questions of the lecturers was high 4.7 4.8 NAThe Cases were consistently of high quality 4.7 5.1 5.2The final exam was a good measure of knowledge of patient safety 4.5 5.6 5.6The overall quality of the patient safety course was high 4.5 5 5.6The resident TA's enhanced my understanding of the clinical application of patient safety concepts in healthcare NA 5.7 6.8This course has increased my awareness of different types of patient safety concerns NA 6 6.1

Lessons Learned and Impact

•Multi-modal course evaluations guided iterative changes yielding improved course ratings

•We realized statistically significant increases in students’ overall quality rating of the course each year

•Patient Safety training can bridge the educational continuum to meet both UME and GME learning goals and objectives

QUESTIONS?