Resident Role Modeling: "It Just Happens"

Acad Med. 2016 Mar;91(3):427-32. doi: 10.1097/ACM.0000000000000996.

Abstract

Purpose: Role modeling by staff physicians is a significant component of the clinical teaching of students and residents. However, the importance of resident role modeling has only recently emerged, and residents' understanding of themselves as role models has yet to be explored. This study sought to understand residents' perceptions of themselves as role models, describe how residents learn about role modeling, and identify ways to improve resident role modeling.

Method: Fourteen semistructured interviews were conducted with residents in internal medicine, general surgery, and pediatrics at the McGill University Faculty of Medicine between April and September 2013. Interviews were audio-recorded and subsequently transcribed for analysis; iterative analysis followed principles of qualitative description.

Results: Four primary themes were identified through data analysis: residents perceived role modeling as the demonstration of "good" behaviors in the clinical context; residents believed that learning from their role modeling "just happens" as long as learners are "watching"; residents did not equate role modeling with being a role model; and residents learned about role modeling from watching their positive and negative role models.

Conclusions: While residents were aware that students and junior colleagues learned from their modeling, they were often not aware of role modeling as it was occurring; they also believed that learning from role modeling "just happens" and did not always see themselves as role models. Helping residents view effective role modeling as a deliberate process rather than something that "just happens" may improve clinical teaching across the continuum of medical education.

MeSH terms

  • Female
  • General Surgery / education*
  • Humans
  • Internal Medicine / education*
  • Internship and Residency*
  • Learning
  • Male
  • Pediatrics / education*
  • Physician's Role*
  • Qualitative Research
  • Self Concept*