Family medicine
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The status of fourth-year chief resident (FYCR) positions in US family practice postgraduate training over the period 1987 to 1992 was assessed to better understand the role of the FYCR in family practice education. ⋯ Between 1987 and 1992, FYCRs have taken on greater administrative and clinical instructor roles, and more programs are involving FYCRs in faculty development. The position offers a unique role for the transition between trainee and faculty.
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In most medical schools and residency programs, little or no attention is given to fostering learners' reflection or self-assessment. Yet learners who do not value or who are not effective at these skills are unlikely to extract the maximum benefit from their education. They are at risk of becoming unsafe physicians. ⋯ Many learners and teachers have grown accustomed to authoritarian educational approaches in which teachers decide what the learners need and unilaterally evaluate their performance. In this review of the available literature, we summarize the compelling reasons for fostering reflection and self-assessment and for helping learners become their own coaches. Specific strategies and tools for creating programs that foster these values and activities are presented.