Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacy
Abstract Background Self-efficacy plays an important role in enhancing the teaching capabilities of attending physicians (APs). The clinical ladder (CL) is an educational approach developed in the field of nursing education that increases difficulty in an incremental manner. However, no previous stu...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Medical Education |
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| Online Access: | https://doi.org/10.1186/s12909-024-05396-0 |
| _version_ | 1797209312052903936 |
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| author | Yuto Arai Go Yoshino Kento Ohta Tohru Okanishi Sosuke Kakee Yoichi Mino Hiroaki Komatsu Nanako Yamada Masaru Ueki Yoshihiro Maegaki |
| author_facet | Yuto Arai Go Yoshino Kento Ohta Tohru Okanishi Sosuke Kakee Yoichi Mino Hiroaki Komatsu Nanako Yamada Masaru Ueki Yoshihiro Maegaki |
| author_sort | Yuto Arai |
| collection | DOAJ |
| description | Abstract Background Self-efficacy plays an important role in enhancing the teaching capabilities of attending physicians (APs). The clinical ladder (CL) is an educational approach developed in the field of nursing education that increases difficulty in an incremental manner. However, no previous study has confirmed the effectiveness of CL in medical education. Therefore, this study aimed to examine the effect of clinical clerkship integrated with clinical ladder (CC-CL) on the self-efficacy of APs. Methods Sixth-year medical students participated in CC-CL for 6 months starting from April 2023, and the changes in the self-efficacy of APs were retrospectively evaluated. The students were trained by the APs concurrently, and the achievement levels of each student were shared. The primary outcome measure was the physician teaching self-efficacy questionnaire (PTSQ) score. The PTSQ scores before and after CC-CL were analyzed using the Wilcoxon matched-pair signed-rank test. Results Fifteen APs from the Department of Pediatric and Child Neurology were included in this study. No significant difference was observed in the total PTSQ scores of the APs before and after CC-CL. However, a significant increase was observed in the PTSQ score of APs who participated for at least 2 h per week over a period of more than 3 months (n = 8) after CC-CL (p = 0.022). Furthermore, APs who had received their pediatrician certification < 10 years ago (n = 8) showed a significant increase in the total PTSQ score after CC-CL (p = 0.022). Conclusions CC-CL may play an important role in cultivating the self-efficacy of less experienced APs. Further comparative studies must be conducted in the future to validate the findings of this study. |
| first_indexed | 2024-04-24T09:52:42Z |
| format | Article |
| id | doaj.art-e7fbb08c29ea4a7f9ea747d0a7c27b28 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-24T09:52:42Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-e7fbb08c29ea4a7f9ea747d0a7c27b282024-04-14T11:19:46ZengBMCBMC Medical Education1472-69202024-04-012411610.1186/s12909-024-05396-0Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacyYuto Arai0Go Yoshino1Kento Ohta2Tohru Okanishi3Sosuke Kakee4Yoichi Mino5Hiroaki Komatsu6Nanako Yamada7Masaru Ueki8Yoshihiro Maegaki9Division of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori UniversityDivision of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori UniversityDivision of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori UniversityDivision of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori UniversityDivision of Pediatrics and Perinatology, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of MedicineDivision of Pediatrics and Perinatology, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of MedicineDepartment of Obstetrics and Gynecology, Tottori University School of MedicineCenter for Clinical Residency Program, Tottori University HospitalDivision of Medical Education, School of Medicine, Faculty of Medicine, Tottori UniversityDivision of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori UniversityAbstract Background Self-efficacy plays an important role in enhancing the teaching capabilities of attending physicians (APs). The clinical ladder (CL) is an educational approach developed in the field of nursing education that increases difficulty in an incremental manner. However, no previous study has confirmed the effectiveness of CL in medical education. Therefore, this study aimed to examine the effect of clinical clerkship integrated with clinical ladder (CC-CL) on the self-efficacy of APs. Methods Sixth-year medical students participated in CC-CL for 6 months starting from April 2023, and the changes in the self-efficacy of APs were retrospectively evaluated. The students were trained by the APs concurrently, and the achievement levels of each student were shared. The primary outcome measure was the physician teaching self-efficacy questionnaire (PTSQ) score. The PTSQ scores before and after CC-CL were analyzed using the Wilcoxon matched-pair signed-rank test. Results Fifteen APs from the Department of Pediatric and Child Neurology were included in this study. No significant difference was observed in the total PTSQ scores of the APs before and after CC-CL. However, a significant increase was observed in the PTSQ score of APs who participated for at least 2 h per week over a period of more than 3 months (n = 8) after CC-CL (p = 0.022). Furthermore, APs who had received their pediatrician certification < 10 years ago (n = 8) showed a significant increase in the total PTSQ score after CC-CL (p = 0.022). Conclusions CC-CL may play an important role in cultivating the self-efficacy of less experienced APs. Further comparative studies must be conducted in the future to validate the findings of this study.https://doi.org/10.1186/s12909-024-05396-0Clinical teachingSelf-efficacyTeaching involvementTeaching qualityUndergraduate medial educationClinical ladder program |
| spellingShingle | Yuto Arai Go Yoshino Kento Ohta Tohru Okanishi Sosuke Kakee Yoichi Mino Hiroaki Komatsu Nanako Yamada Masaru Ueki Yoshihiro Maegaki Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacy BMC Medical Education Clinical teaching Self-efficacy Teaching involvement Teaching quality Undergraduate medial education Clinical ladder program |
| title | Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacy |
| title_full | Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacy |
| title_fullStr | Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacy |
| title_full_unstemmed | Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacy |
| title_short | Impact of clinical clerkship integrated with clinical ladder on attending physicians’ teaching self-efficacy |
| title_sort | impact of clinical clerkship integrated with clinical ladder on attending physicians teaching self efficacy |
| topic | Clinical teaching Self-efficacy Teaching involvement Teaching quality Undergraduate medial education Clinical ladder program |
| url | https://doi.org/10.1186/s12909-024-05396-0 |
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