Miller triangle-based model trains Chinese residents as confident “system-based practice” competency instructors

Ying Ying Yang; Ling Yu Yang; Chia Chang Huang

doi:10.31686/ijier.vol3.iss11.472

Authors

Ying Ying Yang

National Yang-Ming University, Taiwan
Ling Yu Yang

National Yang-Ming University, Taiwan
Chia Chang Huang

National Yang-Ming University, Taiwan

DOI:

https://doi.org/10.31686/ijier.vol3.iss11.472

Keywords:

bedside-assessment, mini-OSTE, Miller triangle, residents, system-based practice

Abstract

Junior members of medical system including residents and clerks should be trained early for ACGME system-based practice (SBP) competency to improve primary patient care quality. Twelve second-year (R2), twelve first-year (R1), and twelve postgraduate year-1 (PGY1) residents were enrolled into group A, B and C, respectively, as trainees. After three training protocols had been completed, a writing test, self-assessed questionnaire and mini-OSTE and bedside-assessment were used in auditing the four Miller triangle levels of the SBP, namely competency, performance, and teaching ability. Baseline expert-assessed, faculty-assessed, self-assessed SBP proficiency were relatively low for the PGY1 residents. After three training protocols, SBP proficiencies, performance, and teaching abilities were improved to similar levels cross the three training levels of residents based on the expert-assessed writing test-audited assessments and on the faculty and standardized clerk-assessed bedside-/mini-OSTE-audited assessments. Overall, this study is characterized by its use of a multi-faceted approach to the training and auditing of the SBP competency across different levels of residents. The Miller triangle-based different protocols used to teach group A, B and C were equally beneficial and fitted their needs; namely the different levels of the trainees; specifically, each level was able to augment their SBP proficiency.

Author Biographies

Ying Ying Yang, National Yang-Ming University, Taiwan

Division of Clinical Skills Training Center, Department of Medical Education, Division of General Medicine, Department of Medicine
Ling Yu Yang, National Yang-Ming University, Taiwan

Department of Medical Education, Department of Medicine, Taipei Veterans General Hospital
Chia Chang Huang, National Yang-Ming University, Taiwan

Division of Clinical Skills Training, Department of Medical Education, Department of Medicine, Taipei Veterans General Hospital

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