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Peer-reviewedCC BY-NC 4.0Journal of Medical Education and Curricular Development

A Longitudinal Competency-Based Residents-As-Teachers Online Program: A Pilot Study Across Multiple Medical Specialties

  1. 1Department of Medical Education, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan
  2. 2Department of General Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan
  3. 3Department of Medical Education, Kyushu University Faculty of Medical Sciences, Fukuoka, Japan

Abstract

Background: Junior doctors play an important role as clinical educators; however, practical systematic programs that cultivate their teaching skills are not well established. While existing Residents-as-Teachers (RaT) programs predominantly consist of one-off workshops, the feasibility of a competency-based, longitudinal, multi-institutional online model remains essentially unexplored.

Objective: We developed a one-year longitudinal online RaT program based on teaching competencies identified in our previous study using a modified Delphi method. This study evaluated the feasibility of that program for junior physicians across multiple medical specialties using Bowen’s feasibility framework.

Methods: Thirty-seven junior physicians (postgraduate years 3–8) from 26 institutions across Japan participated in an online program consisting of nine modules, each 90 minutes in length, delivered over five sessions (one module in the first session; two modules per session in sessions 2–5). The curriculum was grounded in Kolb’s experiential learning model. Feasibility was assessed across the three domains of acceptability, implementation, and practicality.

Results: The overall perceived value of the program was high at 4.5/5.0 (response rate 54.1%). Attendance rates ranged from 64.9% to 94.6% (mean 78.1%) across all modules. Average submission rates for pre-session and post-session assignments were 77.7% and 58.0%, respectively. The completion rate within the same program year was 56.8% (21/37). There were no dropouts. The lowest participation rate was observed for the motivation module (64.9%) and the lowest perceived value for the communication modules (4.1/5.0).

Conclusion: This competency-based, longitudinal online RaT program demonstrated high feasibility as a pilot learning initiative for junior physicians across multiple medical specialties. Future studies should focus on optimizing the program workload and measuring behavioral changes in teaching using objective indicators.

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BibTeX
@article{kosugi2026longitudinal,
  title = {{A Longitudinal Competency-Based Residents-As-Teachers Online Program: A Pilot Study Across Multiple Medical Specialties}},
  author = {Shunsuke Kosugi and Tadayuki Hashimoto and Makoto Kikukawa},
  journal = {Journal of Medical Education and Curricular Development},
  year = {2026},
  month = sep,
  doi = {10.1177/23821205261487480},
  url = {https://doi.org/10.1177/23821205261487480},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - A Longitudinal Competency-Based Residents-As-Teachers Online Program: A Pilot Study Across Multiple Medical Specialties
AU  - Shunsuke Kosugi
AU  - Tadayuki Hashimoto
AU  - Makoto Kikukawa
PY  - 2026
DA  - 2026/09/21
JO  - Journal of Medical Education and Curricular Development
DO  - 10.1177/23821205261487480
UR  - https://doi.org/10.1177/23821205261487480
AB  - Background: Junior doctors play an important role as clinical educators; however, practical systematic programs that cultivate their teaching skills are not well established. While existing Residents-as-Teachers (RaT) programs predominantly consist of one-off workshops, the feasibility of a competency-based, longitudinal, multi-institutional online model remains essentially unexplored.  Objective: We developed a one-year longitudinal online RaT program based on teaching competencies identified in our previous study using a modified Delphi method. This study evaluated the feasibility of that program for junior physicians across multiple medical specialties using Bowen’s feasibility framework.  Methods: Thirty-seven junior physicians (postgraduate years 3–8) from 26 institutions across Japan participated in an online program consisting of nine modules, each 90 minutes in length, delivered over five sessions (one module in the first session; two modules per session in sessions 2–5). The curriculum was grounded in Kolb’s experiential learning model. Feasibility was assessed across the three domains of acceptability, implementation, and practicality.  Results: The overall perceived value of the program was high at 4.5/5.0 (response rate 54.1%). Attendance rates ranged from 64.9% to 94.6% (mean 78.1%) across all modules. Average submission rates for pre-session and post-session assignments were 77.7% and 58.0%, respectively. The completion rate within the same program year was 56.8% (21/37). There were no dropouts. The lowest participation rate was observed for the motivation module (64.9%) and the lowest perceived value for the communication modules (4.1/5.0).  Conclusion: This competency-based, longitudinal online RaT program demonstrated high feasibility as a pilot learning initiative for junior physicians across multiple medical specialties. Future studies should focus on optimizing the program workload and measuring behavioral changes in teaching using objective indicators.
SN  - 2382-1205
ER  -