Internal and Emergency Medicine

, Volume 12, Issue 1, pp 75–80 | Cite as

A national needs assessment of emergency medicine resident-as-teacher curricula

  • James AhnEmail author
  • David Jones
  • Lalena Michelle Yarris
  • Helen Barrett Fromme


Both the Liaison Committee on Medical Education and the Accreditation Council of Graduate Medical Education require residents to be engaged in teaching to develop skills as educators. Although proposed guidelines for an emergency medicine (EM) resident-as-teachers (RAT) curriculum were published in 2006, little has been published regarding RAT curriculum implementation or outcomes since. A crucial first step in developing a formal RAT curriculum for EM educators to pilot, implement, and evaluate is an assessment of current needs and practices related to RAT curricula in EM residencies. The aim of this study was to conduct a needs assessment of EM residency programs regarding RAT curricular resources and practices. We invited all EM residency programs to participate in a web-based survey assessing their current RAT curricula and needs. 28 % responded to our needs assessment. Amongst responding programs, 60 % had a RAT curriculum. Of programs with a required medical student rotation, 59 % had a RAT curriculum. Of programs without a RAT program, 14 % had a program in development, and 18 % had a teaching resident program without a curriculum. Most RAT programs (72 %) were lecture-based and the majority (66 %) evaluated using survey data. 84 % of respondent programs demonstrated a desire for a national RAT curriculum. We find that despite national mandates, a large portion of programs do not have a RAT curriculum in place. There is wide variation in core content and curriculum evaluation techniques among available curricula. A majority of respondents report interest in a standardized web-based curriculum as one potential solution to this problem. Our results may help inform collaborative efforts to develop a national EM RAT curriculum.


ACGME LCME GME Resident as teachers Curriculum Needs assessment 



The authors report no external funding for this study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

This paper is based upon anonymous survey analysis. No impact or alteration of patient management was involved. Internal Review Board approved this study as a survey analysis.

Informed consent

The IRB granted exemption for informed consent.


  1. 1.
    Accreditation Council for Graduate Medical Education. 2007 program requirements for graduate medical education in pediatrics. Available at: Accessed 30 Oct 2013
  2. 2.
    Liaison Committee on Medical Education. 2008 function and structure of a medical school: standards for accreditation of medical education programs leading to the MD degree. Available at: Accessed 30 Oct 2013
  3. 3.
    Greenberg LW et al (1984) Teaching in the clinical setting: factors influencing residents’ perceptions, confidence and behaviour. Med Educ 18:360–365CrossRefPubMedGoogle Scholar
  4. 4.
    Apter A et al (1998) Residentsʼ perceptions of their role as teachers. J Med Educ 63:900–905Google Scholar
  5. 5.
    Morrison EH et al (2002) Reach out and teach someone: generalist residentsʼ need for teaching skills development. Fam Med 34:445–450PubMedGoogle Scholar
  6. 6.
    Busari JO et al (2002) How residents perceive their teaching role in the clinical setting—a qualitative study. Med Teach 24(1):57–61CrossRefPubMedGoogle Scholar
  7. 7.
    Wamsley MA, Juilan KA, Wipf JE (2004) A literature review of “resident-as-teacher” curricula: do teaching courses make a difference. J Gen Intern Med 19:574–581Google Scholar
  8. 8.
    Berger JS et al (2012) Anesthesiology residents-as-teachers program: a pilot study. J Grad Med Educ. 4:525–528CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Ricciotti HA et al (2012) A novel resident-as-teacher training program to evaluate and improve obstetrics and gynecology resident teaching skills. Med Teach 34:e52–e57Google Scholar
  10. 10.
    Institute of Medicine. resident duty hours: enhancing sleep, supervision and safety. Available at: Accessed Oct 30 2013
  11. 11.
    Accreditation Council for Graduate Medical Education. ACGME approved standards. Available at: Accessed 2 Sep 2012
  12. 12.
    Weiss V, Needlman R (1998) To teach is to learn twice. Residents teachers learn more. Arch Pediatrc Adolesc Med. 152(2):190–192Google Scholar
  13. 13.
    Kirkpatrick DL (1967) Evaluation in training. In: Craig R, Bittel L (eds) Training and development handbook. McGraw-Hill, New York, pp 87–112Google Scholar
  14. 14.
    Morrison EH et al (2001) Residents-as-teachers training in U.S. residency programs and offices of graduate medical education. Acad Med 76:S1–S4CrossRefPubMedGoogle Scholar
  15. 15.
    Fromme HB et al (2011) Pediatric Resident-as-teacher curricula: a national survey of existing programs and future needs. J Grad Med Educ. 3:168–175CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Farrell SE et al (2006) Acad Resident-as-teacher: a suggested curriculum for emergency medicine. Emerg Med 13:677–679Google Scholar
  17. 17.
    Kern D, Thomas P, Howard D, Bass E (1998) Curriculum development for medical education: a six-step approach. Johns Hopkins, BaltimoreGoogle Scholar
  18. 18.
    Ratnapalan S, Hilliard RI (2002) Needs assessment in postgraduate medical education: a review. Med Educ Online 7:1–8CrossRefGoogle Scholar
  19. 19.
    The Society for Academic Emergency Medicine. “Residency Directory.” Retrieved May 30, 2013 from
  20. 20.
    American Association for Public Opinion Research. Standard definitions—final dispositions of case codes and outcome rates for surveys (PDF). Accessed 10 Dec 2013
  21. 21.
    Twenge JM (2009) Generational changes and their impact in the classroom: teaching generation me. Med Educ 43:398–405CrossRefPubMedGoogle Scholar
  22. 22.
    Roberts DH et al (2012) Twelve tips for facilitating millenials’ learning. Med Teach 34:274–278CrossRefPubMedGoogle Scholar
  23. 23.
    Yarris LM, Deiorio NM (2011) education research: a primer for educators in emergency medicine. Acad Emerg Med 18:S27–S35CrossRefPubMedGoogle Scholar

Copyright information

© SIMI 2016

Authors and Affiliations

  • James Ahn
    • 1
    Email author
  • David Jones
    • 2
  • Lalena Michelle Yarris
    • 2
  • Helen Barrett Fromme
    • 3
  1. 1.Department of Medicine, Section of Emergency MedicineUniversity of Chicago Hospital CenterChicagoUSA
  2. 2.Department of Emergency MedicineOregon Health and Science UniversityPortlandUSA
  3. 3.Department of PediatricsUniversity of Chicago Hospital CenterChicagoUSA

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