In pursuit of meaningful use of learning goals in residency: A qualitative study of pediatric residents

Tai M. Lockspeiser, Su-Ting Terry Li, Ann E. Burke, Adam A. Rosenberg, Alston E. Dunbar, Kimberly A. Gifford, Gregory H. Gorman, John D. Mahan, Michael P. Mckenna, Suzanne Reed, Alan Schwartz, Ilene Harris, Janice L. Hanson

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose Medical education aims to equip physicians for lifelong learning, an objective supported by the conceptual framework of self-regulated learning (SRL). Learning goals have been used to develop SRL skills in learners across the medical education continuum. This study's purpose was to elicit residents' perspectives on learning goal use and to develop explanations suggesting how aspects of the learning environment may facilitate or hinder the meaningful use of learning goals in residency. Method Resident focus groups and program director interviews were conducted in 2012-2013, audio-recorded, and transcribed. Programs were selected to maximize diversity of size, geographic location, type of program, and current use of learning goals. Data were analyzed using the constant comparative method associated with grounded theory. Further analysis compared themes frequently occurring together to strengthen the understanding of relationships between the themes. Through iterative discussions, investigators built a grounded theory. Results Ninety-five third-year residents and 12 program directors at 12 pediatric residency programs participated. The analysis identified 21 subthemes grouped into 5 themes: program support, faculty roles, goal characteristics and purposes, resident attributes, and accountability and goal follow-through. Review of relationships between the themes revealed a pyramid of support with program support as the foundation that facilitates the layers above it, leading to goal follow-through. Conclusions Program support facilitates each step of the SRL process that leads to meaningful use of learning goals in residency. A strong foundation of program support should include attention to aspects of the implicit curriculum as well as the explicit curriculum.

Original languageEnglish (US)
Pages (from-to)839-846
Number of pages8
JournalAcademic Medicine
Volume91
Issue number6
DOIs
StatePublished - Jun 1 2016

Fingerprint

Internship and Residency
Learning
resident
Pediatrics
learning
grounded theory
Medical Education
director
Curriculum
curriculum
Geographic Locations
lifelong learning
Social Responsibility
Focus Groups
learning process
education
learning environment
physician
Research Personnel
Interviews

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Lockspeiser, T. M., Li, S-T. T., Burke, A. E., Rosenberg, A. A., Dunbar, A. E., Gifford, K. A., ... Hanson, J. L. (2016). In pursuit of meaningful use of learning goals in residency: A qualitative study of pediatric residents. Academic Medicine, 91(6), 839-846. https://doi.org/10.1097/ACM.0000000000001015

In pursuit of meaningful use of learning goals in residency : A qualitative study of pediatric residents. / Lockspeiser, Tai M.; Li, Su-Ting Terry; Burke, Ann E.; Rosenberg, Adam A.; Dunbar, Alston E.; Gifford, Kimberly A.; Gorman, Gregory H.; Mahan, John D.; Mckenna, Michael P.; Reed, Suzanne; Schwartz, Alan; Harris, Ilene; Hanson, Janice L.

In: Academic Medicine, Vol. 91, No. 6, 01.06.2016, p. 839-846.

Research output: Contribution to journalArticle

Lockspeiser, TM, Li, S-TT, Burke, AE, Rosenberg, AA, Dunbar, AE, Gifford, KA, Gorman, GH, Mahan, JD, Mckenna, MP, Reed, S, Schwartz, A, Harris, I & Hanson, JL 2016, 'In pursuit of meaningful use of learning goals in residency: A qualitative study of pediatric residents', Academic Medicine, vol. 91, no. 6, pp. 839-846. https://doi.org/10.1097/ACM.0000000000001015
Lockspeiser, Tai M. ; Li, Su-Ting Terry ; Burke, Ann E. ; Rosenberg, Adam A. ; Dunbar, Alston E. ; Gifford, Kimberly A. ; Gorman, Gregory H. ; Mahan, John D. ; Mckenna, Michael P. ; Reed, Suzanne ; Schwartz, Alan ; Harris, Ilene ; Hanson, Janice L. / In pursuit of meaningful use of learning goals in residency : A qualitative study of pediatric residents. In: Academic Medicine. 2016 ; Vol. 91, No. 6. pp. 839-846.
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