Our curriculum uses adult learning methods to maximize the value of time spent learning about core topics in outpatient pediatrics. We have developed modules or "Case Studies" on dozens of topics. Each module can be used as a guide for small group discussions, large group discussions, self-study, resource at the point of care, etc.
At our own residency program, we have had success with the following model. We recommend that trainees and faculty read the Primary References for each module prior to conference attendance. Faculty are also encouraged to review the "answer key" contained in the moderator's version, which contains suggested answers to all questions posed, teaching pearls, and suggestions for group exercises to reinforce key points. Advance preparation minimizes the amount of didactic information to be covered during conference and enable vigorous discussion of the questions posed in the case studies. We do not make the "answer key" available to trainees before the session unless a particular trainee is designated as the discussion moderator.
Designated trainees or faculty moderate the discussion during each conference session. When pre-assigned to moderate the discussion, trainees receive a copy of the moderator's version in advance. All of our sessions fit into a 30-minute block, but may be condensed or expanded depending on the time available. We encourage our trainees serving as moderators to speak to faculty in advance of each session, and/or seek feedback afterwards, to review effective techniques for small group teaching.