September 18, 1981

Education of Residents-Reply

Author Affiliations

University of Connecticut Health Center Farmington, Conn

JAMA. 1981;246(12):1299. doi:10.1001/jama.1981.03320120011006

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In Reply.—  I agree with Dr Stein's comments and wish to expand on observations made in the third paragraph of his letter. Ideally, we assume that residents want to learn what we teach. However, this model of passive learning (as Dr Stein mentions in his fourth paragraph) is much less successful than physicians seeking what they need to know. Although residents are dependent on their teachers to provide the bulk of overview concerning their clinical work, could we not include a more active model in part of their training? For example, would our residents have changed their fluoride prescribing habits more rapidly if we had instructed them in auditing their own pediatric charts for well-child care and then provided learning opportunities based on their own individual needs?I think our residents believed they had the need to perform in our experiment only when they knew that we (the faculty) were