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Faculty Development Issues in Evaluation. Definition Types of Programs Types of Evaluation Done Evidence of Success Believed Utility Reason for Continuation of programs Need / Evidence of Success Risks to current evaluation methods Impetus for future work.
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Faculty Development Issues in Evaluation • Definition • Types of Programs • Types of Evaluation Done • Evidence of Success • Believed Utility • Reason for Continuation of programs • Need / Evidence of Success • Risks to current evaluation methods • Impetus for future work
Faculty Development Definition • activities designed to improve an individual’s knowledge and skills in areas considered essential to the performance of a faculty member…… McLeod, Steinert, Nasmith, Conochie, CMAJ-JMAC, 1997
Types of Faculty Development • Instructional development • Professional development • Leadership development • Organizational development Irby, 1995, from Berquist and Phillips
Faculty Development Schemes for Program Evaluation: • The Faculty Teacher Attitudes/Knowledge/Behaviors Pedagogy Pedagogical Content Knowledge Content Areas, e.g., End of Life, Geriatrics, Organizational Leadership, Professional Skills • Their Students • The System
Faculty Development Schemes for Program Evaluation: • Reaction (customer satisfaction) • Faculty Learning (change in Knowledge, Skills, Attitudes) • Behavior Change (result of program) • Results (change in the system) Blumberg, Deveau, Medical Teacher, 1995
Faculty Development Schemes for Program Evaluation: • Academic dissemination (presentations/publications) • Product development (materials/workshops) • Implementation ( #’s trained, maintained and disseminated) • Institutionalization Blumberg, Deveau, Medical Teacher, 1995
Faculty Development Schemes for Program Evaluation: • Process Evaluation (participant ratings) • Content Evaluation (Change in knowledge, skills, attitudes) • Outcome Evaluation (long term change) • Impact Evaluation (Impact on the system) Holly, 1992
Faculty Development Schemes for Program Evaluation: • The Faculty • Their Students • The System
Faculty Development in CanadaEvaluation methods 3 outcomes: • performance • cognitive learning • self-assessment re teaching skills • Outcome measures – positive direction, but without statistical significance, but small N. Nasmith, Steinert, Saroyan, Daile, Franco, TchLng Med, 1997
Lessons from Faculty Development in Clinical Teaching • Research Evidence for Benefits • Teachers and learners • POSITIVE RATINGS OF EXPERIENCE • IMPROVED EDUCATIONAL OUTCOMES FOR FACULTY - knowledge, skills, and attitudes • SELF-RATINGS • RATINGS OF BEHAVIORS ON VIDEOTAPES • KNOWLEDGE ACQUISITION BY TEACHERS • IMPROVED STUDENT RATINGS OF TEACHERS • IMPROVED OUTCOMES FOR LEARNERS -- MOSTLY IN HIGHER ED LITERATURE* • Institutional / Societal Benefits ? *Murray in Perry and Smart, 1997 Effective Teaching in Higher Education Stanford Faculty Development Program
Faculty Development Outcomes • Reviewed different types of programs in family medicine • Fellowships • Workshops • Results • Changes measured, but no significant performance changes • Few publications • Different needs for different faculty, tenure vs non-tenure Reid, Stritter, Arndt, Fam Med, 1997
Faculty Development Schemes for Program Evaluation: • The Faculty • Their Students • The System
AAMC - 2000 Faculty Development /Faculty Affairs Offices: 76 of 125 institutions -> 93 faculty affairs and 21 development offices Moahan, et al, Acad Med, May 2002
Faculty Development - Evaluation Faculty development offices focused on use of services and mentoring Moahan, et al, Acad Med, May 2002
AAMC - 2000 Faculty Development /Faculty Affairs Offices: 76 of 125 institutions -> 93 faculty affairs and 21 development offices Moahan, et al, Acad Med, May 2002
Faculty Development in Canada • 1986 – positive commitment – poor faculty participation • Recommendations: • establish committees • fund activities • Recognize participation in promotion/tenure • 1986-96: Major changes: • Health care financing • Downsizing • Inpatient -> outpatient • Multi-institutional and multidisiplinary care • Curriculum reform • Less stress on information acquisition • Problem solving / interpersonal skills/attitudes McLeod, Steinert, Nasmith, Conochie, CMAJ-JMAC, 1997
Faculty Development in Canada • All 16 schools responded • 16 with Faculty Development Program vs 12 in 1986 • Sabbatical programs • Grants to improve instruction/ courses, with major emphasis on information technology/electronic media • Awards for teaching excellence • Increasing feedback on teaching from faculty or administrators (13/16 schools) • Systematic review of teaching by administrator- 6 schools • Senior faculty work with junior faculty – 2 schools • Workshops on management / research / scholarship • Fac Devel committees in 9 schools • ½ of schools indicate inadequate budget • Outcomes reported at 4 schools Stanford Faculty Development Program McLeod, Steinert, Nasmith, Conochie, CMAJ-JMAC, 1997
Faculty Development in Canada • Most effective practices • Teaching instruction • Use of computers/information mngt • Sabbatical leaves • Teaching Awards • Inexpensive faculty development • Local faculty development stimulated by clinicians with M Ed Degrees Stanford Faculty Development Program McLeod, Steinert, Nasmith, Conochie, CMAJ-JMAC, 1997
Faculty Development in Canada • Stimuli for change • Curricular change, needing more tutors • Curricular change – Uncertainty in faculty • Changes in health care – examination of career and personal goals McLeod, Steinert, Nasmith, Conochie, CMAJ-JMAC, 1997
Faculty Development in Canada • Prognosis - - Good; Collegiality and Institutional Support • Problem – lack of evaluation on impact • Need to identify outcomes and methods Stanford Faculty Development Program McLeod, Steinert, Nasmith, Conochie, CMAJ-JMAC, 1997
Lessons from Faculty Development in Clinical Teaching Research Commentary • Hard to do controlled experiments • Few measures of pre-post change • Few measures of long-term change • Mostly participant ratings • Few measures of actual behavioral change in faculty • Difficult for measures of changes in student learning • Little research on institutional change Stanford Faculty Development Center
Faculty Development Outcomes • Are the data hidden in the process we are observing? • Curricular Change? • Emphasis on Teaching? • New Teaching Methods? • New Observations of Faculty Needs? • Requirements for Teaching Improvement Methods by Accrediting Agencies? • Areas for Further Work • Further Enhancement of Pedagogy – Improve the best • Pedagogical Content Knowledge (Shulman) • Needs of the Profession
Types of Faculty DevelopmentAreas for Further Work • Instructional development • Professional development • Leadership development • Organizational development Irby, 1995, from Berquist and Phillips
Types of Faculty DevelopmentYour Beliefs Instructional development • Should be improved? • Can be improved? • Has been improved? Professional development • Should be improved? • Can be improved? • Has been improved? Leadership development • Should be improved? • Can be improved? • Has been improved? Organizational development • Should be improved? • Can be improved? • Has been improved?
Lessons from Faculty Development in Clinical Teaching • Current Challenges/Opportunities • INSTITUTIONAL • Other Alligators • Attitude - good enough mentality? • TIME / MONEY/ ADMINISTRATIVE SUPPORT? • EVIDENCE FOR NEED: Present, ? compelling • WHO IS GOING TO PAY? • TEACHER’S THEMSELVES • Philosophical/practical/self-assessment/ • METHODS: Applicabililty to current environment Stanford Faculty Development Center
Areas for Increased Emphasis in Faculty Development • INSTITUTIONAL BENEFITS • IDENTIFICATION OF NEW AREAS FOR IMPROVEMENT - Consolidation seminar - ->> • STRUCTURAL RECOMMENDATIONS • APPLICATION OF KNOWLEDGE RECOMMENDATIONS FOR INSTITUTIONS, E.G., MDM POLICIES, PATIENT CARE • EDUCATIONAL RECOMMENDATIONS, E.G. TEACHING RESOURCES, ADMINISTRATIVE RESOURCES • SOCIETAL BENEFITS • IMPROVED OUTCOME FOR LEARNERS -->> FUTURE PHYSICIANS/SCIENTISTS Stanford Faculty Development Center
Lessons from Faculty Development in Clinical Teaching Data vs Belief • Importance of Faculty Development • Needs of Educators - Academic / Community • Topics of interest and importance (Content and process) • Benefits of Development Methods • Current Challenges and Opportunities Stanford Faculty Development Program