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The Eight Roles of the Medical Teacher

The Eight Roles of the Medical Teacher

Ronald M Harden | Pat Lilley

(2018)

Additional Information

Book Details

Abstract

This book will be an essential read for all new teachers or trainers in medicine and the healthcare professions, while encouraging the more experienced teacher to review their educational responsibilities. It looks at teaching from the perspective of the functions or roles of a teacher. While aiming to maintain both brevity and clarity it adopts a personal style and approach in order to provide a flavour of what it means to be a teacher.

The authors describe the eight key roles for the teacher or trainer. For maximum effectiveness and job satisfaction it is important for every teacher to establish their roles in an education programme and to know how to contribute most effectively. This book is written to assist with these goals. All teachers should have an understanding of the eight roles but cannot be expected to be an expert in all of them. A consideration of these roles illuminates what is expected of a teacher and illustrates how to maximise potential.

All the chapters contain brief overviews, key take-home messages, a summary of the role responsibilities of all teachers, ‘expert’ teachers and ‘master’ teachers, and suggestions for consideration by the teacher as to their personal role. At the end of each chapter is a list of references of the topics addressed in the chapter. The text includes short narratives from 38 teachers around the world as well as personal anecdotes to provide an additional insight into the roles a teacher fulfils.

  • This book explores the concept of excellence in teaching and describes how to aspire to quality or excellence in teaching through a better understanding of the functions and roles of a teacher.
  • The book offers guidelines for the role of the teacher in the 21st Century in the context of developments such as technology-assisted learning, and increasing pressures from the public and the professions for effective and efficient education programmes.
  • This book describes the eight important key roles for the teacher or trainer.

Table of Contents

Section Title Page Action Price
Front Cover cover
Half title page i
Dedication ii
The Eight Roles of the Medical Teacher iii
Copyright Page iv
Table Of Contents v
Foreword vii
Preface ix
References xii
About the authors xiii
Acknowledgements xv
1 The medical teacher 1
The teacher is important 1
The doctor as a teacher 4
Challenges facing the medical teacher 5
Competing demands on the teacher 5
Lack of a supportive environment or climate 6
Changes in medical education 7
Teaching as a craft and a science 8
What is a good teacher? 9
Technical abilities 9
Approach to teaching 10
The teacher as a professional 14
The attributes of the good teacher 14
Outcome frameworks and the abilities required of a teacher 15
Anyone can become a good teacher 15
Consider 18
Explore further 18
2 The roles of the teacher 21
The function and responsibilities of a teacher 21
What does it mean to be a teacher? 22
Your purpose as a teacher 23
Views of teaching and the teacher’s roles 24
The roles of the teacher model 25
The eight roles of the medical teacher 27
The teacher as an information provider and coach 28
The teacher as a facilitator of learning and mentor 29
The teacher as a curriculum developer and implementer 29
The teacher as an assessor and diagnostician 29
The teacher as a role model 29
The teacher as a manager and leader 30
The teacher as a scholar and researcher 30
The teacher as a professional 30
The use of the eight-roles framework 30
A teacher’s responsibilities and the different roles 31
A competing values framework 32
Consider 34
Explore further 34
3 The teacher as an information provider and coach 35
Your role as an information provider 35
Your role as a subject expert and transmitter of information 36
Your responsibilities as an information provider and transmitter of information 38
Core information and information overload 39
Threshold concepts 42
The information pyramid 45
Provision of information 46
The lecture 46
The flipped classroom 48
Handouts and notes 50
Recordings of lectures 50
Clinical context 51
The impact of the information provided 51
Your role as a curator of information 52
Your role as an information coach 54
The teacher as information provider, an expert information provider and a master information provider 57
The teacher as information provider 57
The teacher as an expert information provider 57
The teacher as a master information provider 57
Consider 58
Explore further 58
4 The teacher as a facilitator and mentor 61
Facilitation of learning 62
A key role for the teacher 63
Approaches to facilitating learning 64
Clarifying the learning outcomes 65
Outcome-based education 65
Outcome-based progression 66
Identifying learning opportunities 67
A curriculum map 67
Study guides 69
Making learning effective 73
Applying the FAIR principles for effective learning 73
Feedback to learners 74
Active learning 75
Individualised learning 78
Relevance 80
Using concept maps 81
Creating a supportive learning environment 84
Engaging the student 84
Engaging the student in the curriculum 84
Motivating the student 86
Self-determined learning: Heutagogy 90
Clinical supervision 90
Who is a clinical supervisor? 90
What is expected of the clinical supervisor? 91
Supervisory interventions 92
Different roles for the clinical supervisor 93
Mentoring 94
A mentor is different from a coach 94
The duties of a mentor 95
What makes an effective mentor–mentee relationship? 95
Commitment 96
Individualisation 96
Respect 96
Approachability 96
Empathy 96
Successes 96
Feedback 96
Challenge 97
Matching 97
Culture 97
Institutional arrangements 97
Implementation in practice 97
The teacher facilitator, expert facilitator and master facilitator 97
The teacher facilitator 97
An expert facilitator 98
A master facilitator 98
Consider 98
Explore further 99
5 The teacher as a curriculum developer and implementer 103
The role of the teacher in the curriculum 104
What is a curriculum? 108
Ten questions to ask about the curriculum 109
What is the vision or mission of the medical school? 110
What are the expected learning outcomes? 111
What content should be included? 116
How should the content be organised? 118
The spiral curriculum 118
What educational strategies should be adopted? 120
Student-centred and teacher-centred approaches 120
Presentation-based and information-based approaches 122
Integrated and interprofessional education 125
Community-based and hospital-based approaches 126
Core curriculum and electives 128
Systematic and opportunistic approaches 129
Curriculum map 129
What teaching methods should be used? 130
The lecture 130
Small group work 133
Clinical teaching 134
Independent learning 135
A blended curriculum 136
Development of e-learning resources 137
Integrating assessment and the curriculum 137
Communicating information about the curriculum 138
Curriculum map 139
Fostering an appropriate educational environment or climate 139
Your curriculum role as a manager and leader 141
Approaches to curriculum planning 141
The teacher as a curriculum developer, expert and master 142
The teacher as a curriculum developer 142
An expert curriculum developer 142
A master curriculum developer 143
Consider 144
Explore further 144
6 The teacher as an assessor and diagnostician 147
The importance of assessment 147
Your role as assessor 149
Your assessment responsibilities 151
Decisions about the school’s or institution’s overall approach to assessment, including the scheduling of the assessment (Steps 1 and 2) – 151
Planning and implementing the assessment of students in line with the school’s agreed approach to assessment (Steps 3, 4, 5 and 6) – 152
Decisions about an individual student’s competence or capability in the area assessed, based on the evidence available from this and other assessments (Step 7) – 152
Provision of feedback to students about their performance and to the teachers about the performance of their students (Steps 8 and 9) – 153
An evaluation of the examination (Step 10) as part of quality assurance of the educational programme – 153
Assessment as a challenge 153
Assessment is an area in medical education where there have been many developments. For example, there has been a move from paper-based to computer-based assessment 153
It is not uncommon to find a lack of agreement or differences of opinion among experts on approaches to implementing assessment in practice 154
There are regional and national differences in approaches to assessment 155
There may be differences of opinion about the approach to arriving at pass/fail decisions 155
In coming to a decision as to whether a learner has achieved a required competence, a challenge relates to whether evidence from different sources over a period of time should be considered, as described below for programmatic assessment 156
Decisions need to be taken about the student who “fails” the examination, with regard to remedial work required and the support provided 156
Assessment may involve ethical decisions about issues such as cheating (Bandaranayake, 2011) 156
Traditionally, the teacher is the examiner, and the student is the person who is assessed. The value of peer assessment is now recognised 156
A school’s Assessment PROFILE 157
Programme-focused assessment 159
Assessment and the Real world 161
Outcome-based and competency-based assessment 163
Identifying the learning outcomes to be assessed, both in respect of generic competencies relating to the curriculum overall and also relating to the course for which you are responsible 164
Selecting a range of instruments to be used in the assessment of the specified learning outcomes 164
Preparing a blueprint relating the assessment to the specified learning outcomes 164
Taking responsibility that learners achieve the expected learning outcomes or competencies 164
Moving from a time-based approach, where what is fixed is the time of study, with the standards achieved by the students variable, to an outcome-based approach, where what is fixed are the standards achieved and what is variable is the time required by the learner to achieve the standards (Table 6.5) 165
For learning, with feedback 165
Impact of assessment on the student and the curriculum 166
Learners’ engagement with assessment 167
Evaluation of the assessment 168
The teacher as an assessor, the expert assessor, the master assessor 169
The teacher as an assessor 169
An expert assessor 169
A master assessor 169
Consider 169
Explore further 170
7 The teacher as a role model 173
What is a role model? 174
The importance of the teacher as a role model 176
Six reasons why role models are important 177
Career choice 177
Understanding the competencies expected of a doctor 179
Helping students acquire the appropriate professionalism and behaviour 180
Development of a professional identity 182
Contributing to a learning environment that supports students’ learning 183
Lifestyle choices 184
A doctor, teacher and person as a role model 184
The doctor as a role model 184
The teacher as a role model 186
The teacher as a personal role model 187
The bad role model 188
The way forward 190
Role models should reflect education change 191
The teacher as a role model, an expert role model and a master role model 192
The teacher as a role model 192
The teacher as an expert role model 192
The teacher as a master role model 192
Consider 193
Explore further 193
8 The teacher as a manager and leader 197
The manager and leader role is important 197
The teacher’s management responsibilities 200
The teacher as a leader 200
The management cycle 203
Plan the teaching activity 204
Organise the activity 204
Implement the activity 204
Monitor the activity 204
Management and leadership strategies 205
Mentor role 205
Facilitator role 205
Monitor role 206
Co-ordinator role 206
Director role 206
Producer role 206
Broker role 206
Innovator role 206
Collaboration 207
Negotiation and conflict 210
Agree on a common goal for the education programme rather than pursue individual interests 211
Identify a solution that meets the different aspirations of all concerned 211
Organising and participating in meetings 212
Adaptive leadership 214
Student engagement 215
Change in medical education as a management and leadership challenge 216
Innovation in medical education 218
Cost of medical education 221
Teacher manager/leader, expert or master? 222
Teacher manager/leader 222
Expert manager/leader 222
Master manager/leader 222
Consider 222
Explore further 223
9 The teacher as a scholar and researcher 225
Every teacher can be a scholar 226
Why a teacher-scholar? 228
Demonstration of scholarship 229
The reflective teacher 231
Making evidence-informed decisions 232
Rational thinking and the use of evidence and judgement in teaching 232
What evidence-informed teaching means in practice 236
Finding evidence relating to your practice 236
Reviewing the evidence available 237
Quality of Evidence 238
The Utility of the evidence 238
Extent of the evidence 239
The Strength of the evidence 239
The Target of the evidence 239
The Setting or context of the evidence 239
The value of the QUESTS criteria 239
The teacher as an innovator 240
The role of the teacher 240
The innovation ladder 241
The teacher as a researcher 242
Action research 242
Scholarship principles and research 245
Advantages of the teacher as a researcher 245
Potential limitations of the teacher as a researcher 246
Is a teacher’s understanding of the findings of research and possible improvements shaped by their own personal self-interests and prejudices? 246
Can such small-scale investigations by a teacher lead to genuine new insights into the curriculum? 246
Does a teacher have the necessary training and skills to be a teacher-researcher? 247
The teacher as a communicator about their work 247
Sharing your work as a teacher 247
Communication options 247
Writing for publication 248
Barriers to writing for publication 248
Manuscript features that create interest 250
Sections of a paper 250
The title 250
The abstract 251
The introduction 251
The methods section 251
The results section 252
The discussion 252
Submission of the manuscript 252
Rejection of a manuscript 252
What are your options if the paper is rejected? 253
Three final tips 254
Confronting broader issues in medical education 254
Scholarship – a contested concept 255
The teacher-scholar, the expert teacher-scholar and the master teacher-scholar 255
The teacher-scholar 255
The expert teacher-scholar 256
The master teacher-scholar 256
Consider 256
Explore further 256
10 The teacher as a professional 259
Knowledge, autonomy and responsibility 259
Knowledge 259
Autonomy 260
Responsibility to their “clients” 260
Embedding professionalism in your role as a teacher 262
A standard of behaviour and responsibilities 264
Teaching skills and keeping up to date 264
Evaluating your competence as a teacher 268
Student ratings of teaching 270
Your well-being as a teacher 270
The problem of stress and burnout 271
Promoting well-being 273
“Civic” professionalism 275
The professional teacher, an expert professional and a master professional 275
The professional teacher 275
An expert professional 275
A master professional 275
Consider 276
Explore further 276
11 The roles of the teacher today and in the future 279
The eight roles of the teacher 279
The teacher as an information provider 279
The teacher as a facilitator 280
The teacher as a curriculum planner and developer 281
The teacher as an assessor 281
The teacher as a role model 281
The teacher as manager and leader 281
The teacher as a scholar and researcher 281
The teacher as a professional 281
Factors affecting the roles expected of a teacher 282
The phase or stage of education 282
The cultural background 282
The size of the team 282
Educational support available 282
The context of teaching 282
The educational strategies adopted in the curriculum 283
The public’s expectation 283
Multiple roles for a teacher 283
Changing roles 287
Your personal role as a teacher 288
Case studies of the roles of a teacher in practice 288
The institution’s responsibilities 288
The importance of the teacher 288
Matching the roles and teachers 291
Mismatch between a school’s requirements and the available teaching skills 292
Teacher evaluation 294
A school’s responsibilities for the teachers employed 294
Recruitment of teachers 294
Retain the teacher 295
Re-energise the teacher 295
Recognise the teacher 296
Respect the teacher 297
An institution’s commitment to teaching 297
Disjunction between beliefs and practice 298
The future roles of the teacher 299
Changes in medical education 299
The future roles of the teacher 300
Information provider 301
Facilitator 301
Curriculum developer 301
Assessment 301
Role model 302
Manager and leader 302
Scholar and researcher 302
Professional 302
Consider 303
Explore further 303
Index 305
A 305
B 305
C 305
D 306
E 306
F 306
G 307
H 307
I 307
J 307
K 307
L 307
M 308
N 308
O 308
P 308
Q 309
R 309
S 309
T 310
U 311
V 311
W 311