Exploring Teaching Perspectives: A Comparative Analysis of Physician Tutors in Small-Group Tutorials (SGT) and Clinical Shadowing (CS) Settings
Journal
Journal of Medical Education
Journal Volume
27
Journal Issue
4
Start Page
258-268
ISSN
1028-2424
Date Issued
2023-12
Abstract
Background: Following educational reforms, the National Taiwan University College of Medicine (NTUCM) has integrated Problem-Based Learning (PBL) with the Small-Group Tutorial (SGT) approach to enrich medical education. For allowing students to observe and learn from physicians in various clinical settings, the reform complemented by clinical shadowing (CS) activities. The Teaching Perspectives Inventory (TPI), a reflective tool for educators, identifies five distinct perspectives on teaching. This study examines the teaching perspectives of SGT and CS tutors at NTUCM and explores the implications for educational practice. Methods: This study was conducted during the academic years of 2022 and 2023. The TPI scores were collected and analyzed, focusing on identifying dominant and recessive perspectives and correlating them with academic disciplines and specialty backgrounds. Results: A total of 275 physician tutors from the NTUH healthcare system participated in this study, with 141 from SGT and 134 from CS. TPI scores exhibited a normal distribution with high reliability. CS tutors scored significantly higher in the apprenticeship perspective compared to SGT tutors. The most common dominant teaching perspective among SGT tutors was nurturing, whereas apprenticeship was most prevalent among CS tutors. Transmission was the most common recessive perspective for both groups. Conclusions: The study highlights significant differences in teaching perspectives between SGT and CS tutors, with implications for tailoring faculty development programs. The nurturing perspective is dominant among SGT tutors, suggesting a focus on supportive learning environments, while CS tutors lean towards an apprenticeship prototype, emphasizing role modeling.
Subjects
medical education
small-group tutorial
clinical shadowing
teaching perspectives nventory
educational reform
Publisher
台灣醫學教育學會
Type
journal article