THE INTERN LECTURE SERIES: HOW TO SURVIVE, THRIVE, LEARN, AND TEACH AS A PEDIATRIC INTERN

Gregory Harlan* M.D. M.P.H., Deirdre Caplin Ph.D., James Bale M.D. University of Utah, Department of Pediatrics Residency Program, Salt Lake City, UT 84113, U.S.A.

PURPOSE: We developed a semi-structured curriculum (Intern Lecture Series (ILS)) in July 2005, to prepare pediatric interns for their simultaneous roles as learners, teachers, and practitioners.

METHODS: Intern needs were assessed via survey in May 2005. Interns identified fears (errors, helplessness, lack of knowledge, relationships) and goals (knowledge, communication, efficiency, research, balance) for their intern year. ILS’ four segments (“Survive, Thrive, Learn, and Teach”) were arranged to help address these fears and to facilitate achievement of goals. The curriculum reinforces professionalism and communication, while providing a longitudinal program that meets weekly for one hour. ILS was evaluated at the conclusion of the intern and second year of residency.

RESULTS: Interns from two successive years have identified improvements in intern cohesion (91%), communication skills (93%), and knowledge of pediatric topics (86%) as a result of ILS. “Survive” gave interns concrete skills and covered basic topics. “Thrive” delved into psychosocial and emotional aspects of medicine. “Learn” allowed interns to become more comfortable with preparing and delivering medical presentations, while “Teach” improved their comfort with teaching overall. The transition from medical student to intern was difficult for all. Support from the residency program as a whole and from individuals was helpful. Supervising residents still have fears regarding the need for increased medical knowledge, leadership skills, and teaching skills.

CONCLUSION: ILS is a plausible way to incorporate communication, knowledge, and professionalism themes. Identifying and addressing interns’ goals and fears may improve their experience and performance, while easing the transition to senior residency roles.