Delivering Values-based Education through Experiential Learning in a Residency Outdoor Orientation Camp: A Mixed-Method Study in Singapore

Abstract

Introduction: Post-graduate medical residency programs are traditionally well equipped to inculcate clinical capabilities, delivered through outcomes-based education. Values-based education is integral in nurturing a well-rounded resident.

Methods: A promising approach is that of experiential learning, hinging on immersive participation and reflection, followed by conceptualization and experimentation. The biannual National University Health System (NUHS) 3-day-2-night residency outdoor orientation camp is designed with “Outward Bound Singapore”. It aims to inculcate NUHS institutional TRICE values (Teamwork, Respect, Integrity, Compassion, Excellence). Results: This mixed-methods study collates responses through Likert scales and residents’ reflective journaling. Residents were surveyed up to 6 years after camp attendance. 87% (93/107) of residents reflected that the camp lead to self-discovery of the TRICE values. Majority of the residents (66%, 71/107 residents) felt the lessons learnt were transferable to the hospital setting. The majority (89.7%, 96/107) benefited from having hospital leaders participate and facilitate the camp. Through journaling, residents demonstrated applicability of the learning to real-life hospital setting years after camp participation. Participation of hospital leaders facilitated shared learning and promoted role-modelling. Conclusion: An aptly designed camp focused on experiential learning, curated and led by hospital leaders can have lasting impact. It should be considered a mode of values-based education in various medical disciplines