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. 2024 Apr 10;24(1):400.
doi: 10.1186/s12909-024-05396-0.

Impact of clinical clerkship integrated with clinical ladder on attending physicians' teaching self-efficacy

Yuto Arai  1 , Go Yoshino  2 , Kento Ohta  2 , Tohru Okanishi  2 , Sosuke Kakee  3 , Yoichi Mino  3 , Hiroaki Komatsu  4 , Nanako Yamada  5 , Masaru Ueki  6 , Yoshihiro Maegaki  2
Affiliations

Impact of clinical clerkship integrated with clinical ladder on attending physicians' teaching self-efficacy

Yuto Arai et al. BMC Med Educ. .

Abstract

Background: Self-efficacy plays an important role in enhancing the teaching capabilities of attending physicians (APs). The clinical ladder (CL) is an educational approach developed in the field of nursing education that increases difficulty in an incremental manner. However, no previous study has confirmed the effectiveness of CL in medical education. Therefore, this study aimed to examine the effect of clinical clerkship integrated with clinical ladder (CC-CL) on the self-efficacy of APs.

Methods: Sixth-year medical students participated in CC-CL for 6 months starting from April 2023, and the changes in the self-efficacy of APs were retrospectively evaluated. The students were trained by the APs concurrently, and the achievement levels of each student were shared. The primary outcome measure was the physician teaching self-efficacy questionnaire (PTSQ) score. The PTSQ scores before and after CC-CL were analyzed using the Wilcoxon matched-pair signed-rank test.

Results: Fifteen APs from the Department of Pediatric and Child Neurology were included in this study. No significant difference was observed in the total PTSQ scores of the APs before and after CC-CL. However, a significant increase was observed in the PTSQ score of APs who participated for at least 2 h per week over a period of more than 3 months (n = 8) after CC-CL (p = 0.022). Furthermore, APs who had received their pediatrician certification < 10 years ago (n = 8) showed a significant increase in the total PTSQ score after CC-CL (p = 0.022).

Conclusions: CC-CL may play an important role in cultivating the self-efficacy of less experienced APs. Further comparative studies must be conducted in the future to validate the findings of this study.

Keywords: Clinical ladder program; Clinical teaching; Self-efficacy; Teaching involvement; Teaching quality; Undergraduate medial education.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
The clinical ladder created by the attending physicians. Students carry this during their clinical rotations. Attending physicians verify the achievements of the students and sign off on them. Achievement goals are individually set based on the motivation and abilities of the students
See this image and copyright information in PMC

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