By Michael Gisondi (@MikeGisondi)
I recently had the honor of presenting a faculty development lecture at Kaiser Permanente Medical Center San Francisco, entitled, “Teaching Senior Residents.”
My learning objectives for this talk were two-fold:
- Distinguish between junior resident and senior resident competencies
- Describe several techniques for clinical supervision and teaching of senior residents
Why are senior residents unique?
I believe there are two halves to residency training, with two distinct learner types: junior residents and senior residents.
Residency training is not a gradual progression of learning across a several-year continuum… residency is bumpy and erratic. It has starts and stops.
There is a point where one starts being a junior resident and stops being a junior resident. Similarly, at some point one starts being a senior resident. That transition from junior to senior is challenging, as the time of promotion is generally driven by an academic calendar rather than a competency assessment.
Starting over is never easy. Just when a trainee is successfully achieving ‘junior resident competencies,’ we push them into new roles and responsibilities – we make them novice learners of ‘senior resident competencies.’
Senior residents are, therefore, a special cohort of learners. Teach them differently.
But how? In anticipation of my presentation at Kaiser SF, I reached out to #MedTwitter to crowdsource some sage wisdom and help.
#MedTwitter never disappoints. I’m grateful to the 100+ individuals who responded with their teaching expertise in just 24 hours. I collated all the posts into 7 general themes, with a few illustrative Tweets below.
TIP: Teach the Senior Resident Competencies
TIP: Develop Senior Residents to be Great Teachers
TIP: Be Vulnerable with Your Senior Residents
TIP: Observe Your Senior Residents at the Bedside
TIP: Give Your Senior Residents Space to Grow
TIP: Challenge Your Senior Residents, Safely.
TIP: Treat Your Seniors as Your New Colleagues.
Summary: 7 Tips for Teaching Senior Residents
- Teach the Senior Resident Competencies
- Develop Senior Residents to be Great Teachers
- Be Vulnerable with Your Senior Residents
- Observe Your Senior Residents at the Bedside
- Give Your Senior Residents Space to Grow
- Challenge Your Senior Residents, Safely
- Treat Your Senior Residents as Your New Colleagues
Header photo via Pexels
About the Author: Michael A. Gisondi, MD is an emergency physician, medical educator, and education researcher who lives in Palo Alto, California. Michael currently holds a position as Associate Professor and Vice Chair of Education in the Department of Emergency Medicine at Stanford University. Twitter: @MikeGisondi
The views and opinions expressed in this post are those of the author(s) and do not necessarily reflect the official policy or position of The Royal College of Physicians and Surgeons of Canada. For more details on our site disclaimers, please see our ‘About’ page