Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model

Abstract Introduction Current medical residency programs often neglect critical areas of professional development, such as patient safety, stewardship, and effective clinical documentation. This study evaluates the effectiveness of a shadow curriculum designed to enhance these aspects for medical re...

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Main Authors: Sahba Fekri, Amin Habibi, Hamed Khani, Samane Babaei, Masomeh Kalantarion
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Research Notes
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Online Access:https://doi.org/10.1186/s13104-025-07233-z
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author Sahba Fekri
Amin Habibi
Hamed Khani
Samane Babaei
Masomeh Kalantarion
author_facet Sahba Fekri
Amin Habibi
Hamed Khani
Samane Babaei
Masomeh Kalantarion
author_sort Sahba Fekri
collection DOAJ
description Abstract Introduction Current medical residency programs often neglect critical areas of professional development, such as patient safety, stewardship, and effective clinical documentation. This study evaluates the effectiveness of a shadow curriculum designed to enhance these aspects for medical residents. Methods The shadow curriculum was implemented for first-year residents in ophthalmology, internal medicine, and urology, consisting of an 8-hour workshop covering job encounters, stewardship, patient safety principles, medical documentation, and electronic prescribing. Conducted in 2023 with 22 residents, the evaluation utilized questionnaires, pre- and post-tests, and semi-structured interviews to assess satisfaction and learning outcomes. Results 54.55% of participants with a mean score of 23.66 (SD = 1.97) reported satisfaction with course content, and 63.63% with a mean score of 22.64 (SD = 2.63), were satisfied with the course organization. Pre/post-test results showed a significant knowledge increase (p < 0.001), particularly in antibiotic prescribing and patient safety. Qualitative interviews emphasized on three themes including consumer oriented learning, changing the perspective of teaching and learning, and promotion of self-directed learning. Conclusions This study highlights the shadow curriculum’s effectiveness in improving residents’ professional satisfaction and knowledge. By prioritizing learner perspectives and extending opportunities beyond traditional settings, it fosters a personalized learning environment. These findings underscore the need to integrate shadow curricula into medical training to meet evolving educational needs and enhance professional development.
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spelling doaj-art-157700fb16fb43eaaa3506e5024f893d2025-08-20T03:18:34ZengBMCBMC Research Notes1756-05002025-04-011811710.1186/s13104-025-07233-zEnhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick modelSahba Fekri0Amin Habibi1Hamed Khani2Samane Babaei3Masomeh Kalantarion4Department of Ophthalmology, Labbafinejad Medical Center, Shahid Beheshti University of Medical SciencesDepartment of Medical Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical SciencesDepartment of Medical Education, Education Development Center (EDC), Smart University of Medical Sciences (SmUMS)Department of Medical Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical SciencesDepartment of Medical Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical SciencesAbstract Introduction Current medical residency programs often neglect critical areas of professional development, such as patient safety, stewardship, and effective clinical documentation. This study evaluates the effectiveness of a shadow curriculum designed to enhance these aspects for medical residents. Methods The shadow curriculum was implemented for first-year residents in ophthalmology, internal medicine, and urology, consisting of an 8-hour workshop covering job encounters, stewardship, patient safety principles, medical documentation, and electronic prescribing. Conducted in 2023 with 22 residents, the evaluation utilized questionnaires, pre- and post-tests, and semi-structured interviews to assess satisfaction and learning outcomes. Results 54.55% of participants with a mean score of 23.66 (SD = 1.97) reported satisfaction with course content, and 63.63% with a mean score of 22.64 (SD = 2.63), were satisfied with the course organization. Pre/post-test results showed a significant knowledge increase (p < 0.001), particularly in antibiotic prescribing and patient safety. Qualitative interviews emphasized on three themes including consumer oriented learning, changing the perspective of teaching and learning, and promotion of self-directed learning. Conclusions This study highlights the shadow curriculum’s effectiveness in improving residents’ professional satisfaction and knowledge. By prioritizing learner perspectives and extending opportunities beyond traditional settings, it fosters a personalized learning environment. These findings underscore the need to integrate shadow curricula into medical training to meet evolving educational needs and enhance professional development.https://doi.org/10.1186/s13104-025-07233-zMedical educationProgram evaluationCurriculumResidency
spellingShingle Sahba Fekri
Amin Habibi
Hamed Khani
Samane Babaei
Masomeh Kalantarion
Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model
BMC Research Notes
Medical education
Program evaluation
Curriculum
Residency
title Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model
title_full Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model
title_fullStr Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model
title_full_unstemmed Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model
title_short Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model
title_sort enhancing professional development in medical residency through a shadow curriculum an evaluation based on kirkpatrick model
topic Medical education
Program evaluation
Curriculum
Residency
url https://doi.org/10.1186/s13104-025-07233-z
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AT samanebabaei enhancingprofessionaldevelopmentinmedicalresidencythroughashadowcurriculumanevaluationbasedonkirkpatrickmodel
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