<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.163297.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Experience of junior educators in an advanced eye care centre following a faculty development training program</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: 1 not approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Priyanka Poosa</surname>
                        <given-names>Jhansi</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Software</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0009-0001-6484-4996</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Snigdha</surname>
                        <given-names>Snigdha</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Funding Acquisition</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0009-0007-3862-3958</uri>
                    <xref ref-type="corresp" rid="c2">b</xref>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Pathengay</surname>
                        <given-names>Avinash</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Mocherla</surname>
                        <given-names>Shobha</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a4">4</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Thinley</surname>
                        <given-names>Chodup</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a5">5</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Prakasam</surname>
                        <given-names>Dr Ruby Kala</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-5433-4546</uri>
                    <xref ref-type="aff" rid="a6">6</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Yelagondula</surname>
                        <given-names>Vijay Kumar</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <xref ref-type="aff" rid="a7">7</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Optometry Educator, BHIOVS, L V Prasad Eye Institute, Hyderabad, Telangana, India</aff>
                <aff id="a2">
                    <label>2</label>Network Associate Director, Standard Chartered - LVPEI Academy for Eye Care Education, L V Prasad Eye Institute, Hyderabad, Telangana, India</aff>
                <aff id="a3">
                    <label>3</label>Network Director, Standard Chartered - LVPEI Academy for Eye Care Education, LV Prasad Eye Institute, Hyderabad, Telangana, India</aff>
                <aff id="a4">
                    <label>4</label>Scientist Grade 2, Standard Chartered - LVPEI Academy for Eye Care Education, LV Prasad Eye Institute, Hyderabad, Telangana, India</aff>
                <aff id="a5">
                    <label>5</label>Optometry Educator, Brien Holden Institute of Optometry and Vision Sciences, L V Prasad Eye Institute, Hyderabad, Telangana, India</aff>
                <aff id="a6">
                    <label>6</label>Academic Researcher, Standard Chartered - LVPEI Academy for Eye Care Education, LV Prasad Eye Institute, Hyderabad, Telangana, India</aff>
                <aff id="a7">
                    <label>7</label>Registrar, Bausch and Lomb School of Optometry, Brien Holden Institute of Optometry and Vision Sciences, L V Prasad Eye Institute, Hyderabad, Telangana, India</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:jhansipriyanka@lvpei.org">jhansipriyanka@lvpei.org</email>
                </corresp>
                <corresp id="c2">
                    <label>b</label>
                    <email xlink:href="mailto:Snigdha@lvpei.org">Snigdha@lvpei.org</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>28</day>
                <month>7</month>
                <year>2025</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2025</year>
            </pub-date>
            <volume>14</volume>
            <elocation-id>742</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>10</day>
                    <month>7</month>
                    <year>2025</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Priyanka Poosa J et al.</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/14-742/pdf"/>
            <abstract>
                <title>Abstract*</title>
                <sec>
                    <title>Background</title>
                    <p>This study aimed to explore the experiences of novice clinical educators, known as junior faculty or student teacher or junior doctor in medical education, who completed a four-month faculty development program, focusing on their support needs and academic strategies to overcome challenges through training and development. Despite the importance of such training in nurturing and honing educator skills, research on this subject is limited to skill-based theory and praxis of optometry and vision sciences as a technical specialty for spectacles refraction, detection of cataract, glaucoma, infection. A general preliminary search reveals that research and training programs are missing in wide and deep learning in comprehensive syllabic eye care, in value-based communication skills and psychosocial skills for human-human interaction, transparent career paths, profession-centric elements of compassionate care, and human resources management that engender collaboration and team spirit.</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>A questionnaire and one-on-one interviews were conducted with 20 junior educators, 16 of whom participated. All had completed the &#x2018;Consuming Knowledge Consciously&#x2019; (CKC) program and had over one year of experience in teaching optometry trainees and vision technicians. Analysis of the interview transcripts identified themes related to teaching motivators, challenges, and personal aptitude for education.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>The analysis revealed that while the educators initially lacked confidence, they developed key competencies over time through the curated CKC program and mentoring by senior faculty. Educators have utilized various methods, such as role-play, inquiry-based learning, and the &#x2018;Know, Want-to-know, and Learned&#x2019; or KWL method of purposeful reading, to increase trainee engagement and collaboration. Challenges included teaching complex topics, addressing difficult questions, and managing time, with senior mentors providing vital support. The CKC program welcomes reflective learning, critical thinking, and personal growth in communication. However, educators face logistic challenges such as limited availability and scheduled shared access to the necessary teaching space furnished with educational technology infrastructure, appropriate time allocation in a workday and audiovisual and reading library resources.</p>
                </sec>
                <sec>
                    <title>Conclusions</title>
                    <p>The CKC program helped educators transition toward interactive, trainee-centered teaching, improving their confidence and effectiveness. Despite challenges such as resource limitations, the program supported the creation of dynamic, collaborative learning environments essential to clinical practice.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Junior educators</kwd>
                <kwd>medical education</kwd>
                <kwd>faculty development</kwd>
                <kwd>peer tutoring</kwd>
                <kwd>clinical teaching</kwd>
                <kwd>teaching</kwd>
                <kwd>qualitative research</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1" xlink:href="https://doi.org/10.13039/501100005809">
                    <funding-source>Hyderabad Eye Research Foundation</funding-source>
                </award-group>
                <funding-statement>This work was funded by the Hyderabad Eye Research Foundation. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. </funding-statement>
                <funding-statement>
                    <italic>The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</italic>
                </funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec id="sec5" sec-type="intro">
            <title>Introduction</title>
            <p>The adoption of peer teaching in medical education, with its emphasis on collaborative learning and mentorship, has emerged as a complementary approach to the traditional senior faculty-led instruction model.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup> Teaching that aims to create medical educators, also known as junior faculty or student teacher or junior doctor in medical education, is an art: picture the resultant cutting-edge clinician-educator who had immersed oneself in contextual teaching and professional training by model instructors-tutors.
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>
                </sup> However, the absence of mentoring can hinder the educators&#x2019; eventual effectiveness and efficacy, likely leading to rejection of their placement by institutions while negatively impacting the learning environment. Conversely, collaborative and engaging environments would invite trainee success.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup>
            </p>
            <p>Institutional support plays a crucial role in developing junior faculty. Initial assessments of attitudes and tailored training programs enhance their teaching capabilities.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup> Studies have demonstrated that after receiving training in exemplar procedural skills, junior educators can deliver instruction comparable with senior faculty.
                <sup>
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup> Programs such as problem-based learning (PBL) encourage active trainee participation and innovation in teaching methodologies.
                <sup>
                    <xref ref-type="bibr" rid="ref4">4</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup>
            </p>
            <p>Faculty development programs have evolved significantly since their inception in 1922, shifting from basic instructional skills to comprehensive phased models addressing advanced pedagogical and research needs.
                <sup>
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup> These programs lend a sense of belonging, integrating junior educators into academic communities while addressing their weaknesses.</p>
            <p>Despite these advancements, challenges persist in faculty training programs. Junior educators face high workloads, limited academic time, and stress from financial constraints, all of which contribute to burnout and far-reduced job satisfaction.
                <sup>
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup> While junior faculty often find teaching roles more satisfying, research and service roles are less fulfilling, with disparities being found in satisfaction across gender and institution type.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup>
            </p>
            <p>Opining that the value of education was in learning and sharing knowledge, we articulated that receiving structured training was of primary importance, not whether the trainees chose to continue working with the organization long after finishing their training. Thus, we studied the scope and focus of training for our new entrants in the optometry stream in professional eye clinics of an advanced tertiary care eye center linked to tertiary eye centers in three states of southern India. We began to gather information on the experiences of new junior educators and recent appointees on the faculty tenure track who need support from senior faculty, including a preliminary orientation on foundation skills and pedagogy that helped make complex concepts understandable. Surprisingly, we found that previous research in this area was sparse.</p>
            <p>The four-month faculty development program called Consuming Knowledge Consciously (CKC), the most recent educational initiative of the LVPEI, was introduced in June 2022 and aimed to provide training to newly recruited junior educators. The training focused on techniques for engaging trainees and adopting various methods for assessing trainee capacity for attention, retention, application, and reflection. The ten core optometry modules were covered by senior faculty who served as mentors. Mentoring was readily available throughout the 12-month duration. Supplemental workshops were conducted in a phased manner on the ten topics of deep study, which included one or more of 15 clinical subspecialties, pedagogy and assessments, educational psychology, communication, foundational skills, academic research, social media usage, mentoring, teamwork, and leadership, as shown in 
                <underline>
Table 2.</underline>
                <sup>
                    <xref ref-type="bibr" rid="ref12">12</xref>
                </sup> Our present inquiry explored the barriers and facilitators that help entry-level professional educators stay the course with self-discipline, discernment, and unswaying interest in reading, studying, knowing, delving into the depths of theory and practice, finding the facts, and sharing, discussing, and debating, which lead to the realization of one&#x2019;s potential. We focused on eliciting the outcomes of implementing some active learning strategies (such as game-based learning, inquiry-based learning, a 1-minute summary, and peer-centric learning and teaching) that tested the tenacity of newcomers as confirmed educators.</p>
        </sec>
        <sec id="sec6" sec-type="methods">
            <title>Method</title>
            <p>This prospective qualitative study was conducted in compliance with the Declaration of Helsinki. Ethical approval was obtained from the Institutional Ethics Committee (IEC) of the Hyderabad Eye Research Foundation on 27 July 2024 (Ethics Reference No: LEC-BHR-P-07-2024-104).</p>
            <p>A questionnaire developed by an experienced faculty member was used during the interview process to assess the experiences and perceptions of 16 junior educators at the L V Prasad Eye Institute who had completed the CKC program in 2022. The program aimed to enhance pedagogical and professional skills across ten domains, including 15 clinical subspecialties, pedagogies, educational psychology, communication, foundational skills, academic research, social media use, mentoring, teamwork, and leadership. Training took place through blended learning approaches, combining in-person workshops and technology-enabled classroom sessions.
                <sup>
                    <xref ref-type="bibr" rid="ref12">12</xref>
                </sup>
            </p>
            <p>The questionnaire included 13 open-ended questions
                <sup>
                    <xref ref-type="bibr" rid="ref13">13</xref>
                </sup> organized around four major themes: trainee background, program components, program impact and outcomes, and suggestions for improvement. It was developed after reviewing the relevant literature and was refined by senior faculty following collaborative discussions.
                <sup>
                    <xref ref-type="bibr" rid="ref13">13</xref>
                </sup> The aim was to evaluate teaching readiness, mentorship quality, and skill development in areas such as lesson planning, content delivery, and the use of active learning strategies.</p>
            <p>The trainees also reflected on how the program influenced their confidence, communication skills, and familiarity with educational technology. An informed consent form was distributed to the trainees via online Google Forms one week before the interview, explaining the terms and conditions including the study&#x2019;s purpose, confidentiality measures, and voluntary participation. Only those trainees who provided informed consent were included in the study.</p>
            <p>Structured one-on-one interviews with the trainees were conducted online via Microsoft Teams, with both audio and video recordings securely stored. Each interview lasted approximately one hour and all interviews were conducted over a three-month period, from September 16
                <sup>th</sup> to November 16
                <sup>th</sup>, 2024. Transcripts were generated via the Read AI notes feature and were reviewed and edited by the authors for clarity and accuracy on the same day. In cases where Read AI failed, Adobe Premiere Pro was used to complete the transcription. The interviews of trainees were then analyzed via ChatGPT Mini 4.0 to identify patterns of experience as recurring themes. A focused group discussion among the authors finalized the 17 key themes (
                <underline>Supplementary Material),
</underline>
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>
                </sup> offering in-depth insights into the educators&#x2019; experiences during the CKC program.</p>
        </sec>
        <sec id="sec7" sec-type="results">
            <title>Results</title>
            <p>A total of 20 junior educators were selected for structured one-on-one interviews. Sixteen interviews were completed, consisting of five males and eleven females. Four educators were excluded due to scheduling conflicts, departure from the organization, or failure to provide a timely response. The interviews of trainees were conducted online via Microsoft Teams, with video and audio recordings securely saved for analysis. Each interview session lasted approximately one hour, and transcripts were generated using the Read AI notes feature in Microsoft Teams. These transcripts were reviewed and edited by the author on the same day to correct minor errors and ensure accuracy. The transcripts were then proofread and analyzed thematically using ChatGPT Mini 4.0.</p>
            <p>The final themes were established following a focused group discussion among the authors. To maintain objectivity, the facilitator refrained from prompting responses, and all themes were derived directly from the transcripts. The facilitator and primary investigator, with support from ChatGPT Mini 4.0, identified the themes. In instances where the Read AI feature was ineffective, Adobe Premiere Pro was utilized for transcription.</p>
            <p>The analysis identified 17 key themes, as shown in Table 1,
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>
                </sup> which offers insights into the educators&#x2019; experiences in the CKC program.</p>
            <sec id="sec8">
                <title>Transitioning from traditional to active learning strategies</title>
                <p>The transition from traditional to active learning strategies marked a significant evolution in pedagogical approaches, especially in clinical settings. Traditional methods are characterized by lecture-based teaching, where instructors present content in a one-way, teacher-centric format. In the traditional learning model, trainees are primarily passive recipients expected to memorize theoretical concepts without adequate emphasis on exposure to their practical application. This approach often lacks interactive or reflective elements, making it challenging for educators to assess trainee comprehension or promote deeper engagement.</p>
                <p>In contrast, the active learning strategies implemented in CKC introduced innovative techniques that transformed the learning experience. For example, flipped classrooms encouraged trainees to engage with preparatory material before class, allowing in-class sessions to focus on discussions, critical thinking, and problem-solving activities. Case-based and inquiry-based learning bring real-world scenarios into the classroom, prompting trainees to ask more questions, thereby enhancing their clinical diagnosis and decision-making skills while helping them connect theoretical knowledge with practical relevance. Collaborative methods, such as think-pair-share, promoted peer interaction, enabling trainees to articulate their thoughts and learn from one another. Additionally, games added an engaging, interactive dimension catering to the preferences of modern learners.</p>
                <p>The impact of these strategies was profound, enabling educators to actively assess trainees&#x2019; retention and their ability to apply knowledge in real-world clinical contexts. By integrating these dynamic techniques, CKC ensured that learning was not only more engaging but also more effective in preparing trainees for practical, clinical challenges.</p>
            </sec>
            <sec id="sec9">
                <title>Improvement in teaching and clinical skills</title>
                <p>Improvement in teaching and clinical skills was achieved by enhancing the educators&#x2019; abilities in both delivering educational content and effectively applying clinical knowledge. In the field of education, the goal of reaching understanding is facilitated by adopting a legacy teaching standard, such as Bloom&#x2019;s Taxonomy which helps structure learning objectives progressing from basic understanding to higher-order thinking.</p>
                <p>By incorporating adult learning principles, educators can design lessons that are engaging and tailored to mature learners, emphasizing practical and reflective experiences. Active learning strategies, such as reflection and application exercises, enable instructors-tutors to promote deeper understanding and retention among trainees.</p>
                <p>On the clinical side, this improvement translated into enhanced critical thinking and problem-solving skills, allowing educators to effectively link theoretical knowledge to real-world clinical cases for their trainees. As the sessions promoted discussions on recent cases from the clinics, educators experienced a significant improvement in their clinical skills, which further bolstered their teaching confidence.</p>
            </sec>
            <sec id="sec10">
                <title>Mentorship and support systems</title>
                <p>The CKC program emphasized structured and collaborative mechanisms aimed at guiding and empowering junior educators. Mentorship played a pivotal role by offering trainees consistent guidance, constructive feedback, and support to navigate the program effectively. For instance, regular check-ins with mentors and Training of Trainers (TOT) programs served as essential tools to address and bridge knowledge gaps, ensuring that educators stay aligned with their learning objectives.</p>
                <p>Additionally, peer learning was an essential component of the support system. Through collaborative activities such as case discussions and group projects, educators participated in shared learning experiences, exchanging insights and strategies. This not only deepened their understanding but also cultivated a collegial and supportive atmosphere. By learning from one another&#x2019;s experiences, educators bonded with a stronger sense of community and mutual growth, which bolstered their confidence and skills in both teaching and clinical practice.</p>
            </sec>
            <sec id="sec11">
                <title>Trainee-student impact and engagement</title>
                <p>The trainees appreciated the transformative impact of the CKC program on their learning experiences and engagement. One significant outcome was the increase in trainee participation. CKC&#x2019;s active learning strategies, such as inquiry-based learning, interactive discussions, educational games, and reflective exercises, fostered a dynamic and engaging classroom environment. These methods not only made the learning process enjoyable and memorable but also encouraged trainees to actively contribute, encouraging a deeper connection with the material. The junior educators noted the increased trainee participation in their sessions and recognized the positive changes they had brought about by implementing specific strategies in their classrooms.</p>
                <p>Additionally, the program&#x2019;s impact was evident through the feedback and appreciation received from educators. Trainees expressed gratitude for the innovative teaching methods, emphasizing how these strategies enhanced their understanding and boosted their confidence, particularly in clinical scenarios. This positive reinforcement underscored the effectiveness of CKC in creating a trainee-centered learning experience that connected theoretical knowledge with practical application.</p>
            </sec>
            <sec id="sec12">
                <title>Personal and professional development</title>
                <p>Educators experienced significant transformations both personally and professionally (as &#x2018;development&#x2019; or &#x2018;professional growth&#x2019;) through the CKC program. Initially, many educators hesitated to embrace their all-round personal growth, with all levels of introverts among them doubting their ability to engage effectively with trainees. However, over time, they became more confident and assertive, cultivating a stronger presence in the classroom. This growth was primarily fueled by enhancements in their communication and leadership skills, which empowered them to interact more effectively with trainees and colleagues, thereby facilitating a more engaging learning environment.</p>
                <p>On the professional front, CKC served as a valuable platform for lifelong learning, enabling educators to enhance both their clinical expertise and mentoring skills. By simultaneously improving their clinical knowledge and teaching practices, they developed a well-rounded skill set that increased their effectiveness as both educators and clinicians. This dual emphasis on personal and professional development empowered the educators to become more proficient in their roles, ultimately benefiting both their trainees and their career trajectories.</p>
            </sec>
            <sec id="sec13">
                <title>Integration of evidence-based practice</title>
                <p>Educators emphasized the importance of integrating the latest research and best practices into both teaching and clinical practice. In the context of CKC, educators were trained to actively utilize recent articles, journals, and case studies as educational tools, in turn ensuring that their trainees understood the significance of evidence-based practice in optometry and allied eye health. The educators understood that this approach not only exposed their trainees to the most current information but also fostered critical thinking, enabling them to evaluate and apply this evidence in real-world scenarios.</p>
                <p>By prioritizing evidence-based education, CKC encouraged both educators and trainees to continuously seek new knowledge and engage in self-improvement throughout their careers. This culture of ongoing education ensured that professionals in optometry and eye health remained up-to-date with evolving research, treatment methodologies, and clinical advancements, ultimately enhancing patient care and professional expertise.</p>
            </sec>
            <sec id="sec14">
                <title>Work-life balance and compensation</title>
                <p>Educators faced challenges when balancing their professional responsibilities with personal well-being. The demanding nature of the program, characterized by long hours and busy schedules, often resulted in fatigue among participating educators. The expectation to prepare lessons in the evenings and fulfill weekend duties further exacerbated the pressure, raising concerns about the long-term sustainability of such a workload. These factors contributed to a sense of burnout for some educators, as maintaining a balance between their professional and personal lives became increasingly difficult.</p>
                <p>Additionally, pay discrepancies emerged as a significant issue. Many educators expressed dissatisfaction with their compensation, feeling that it did not adequately reflect the level of effort, time, and expertise required in their roles. This situation underscores the need for more equitable and supportive pay structures that align with the demands placed on educators, ensuring that their hard work was fairly recognized and rewarded. Collectively, these issues highlighted the importance of addressing work-life balance and compensation to support the well-being and retention of educators in the program.</p>
            </sec>
            <sec id="sec15">
                <title>Initial hesitation and overcoming barriers</title>
                <p>Educators faced challenges as they embarked on their journey in the CKC program, particularly during the transition to teaching roles. Many educators initially experienced anxiety and self-doubt, especially those with limited exposure to active teaching methods. Unfamiliarity with these approaches, combined with time constraints and a sense of unpreparedness, made the early phases of training particularly difficult. These factors led to concerns about their ability to engage trainees effectively and deliver content. However, these initial barriers were gradually overcome through the support of mentors, peers, and the program&#x2019;s structured framework. Mentorship provided valuable guidance and reassurance, while peer collaboration created a sense of community and shared learning. Over time, educators became more confident in their teaching abilities and clinical expertise, adapting to the program&#x2019;s demands. This process of overcoming hesitation not only strengthened their professional skills but also helped them embrace new teaching methods and develop a sense of competence in their roles.</p>
            </sec>
            <sec id="sec16">
                <title>Integration of emotional intelligence in teaching</title>
                <p>Emotional intelligence (EI) was essential to enhance both teaching and clinical practices within the CKC program. The educators recognized that EI was crucial for understanding and address the emotional and psychological needs of trainees. This included empathizing with trainees&#x2019; challenges, providing personalized feedback, and creating a supportive learning environment that encouraged growth and open communication. In clinical settings, interactions with patients helped educators further develop their interpersonal skills, as they learned to navigate sensitive situations with empathy and emotional awareness. These EI skills were then transferred to the classroom, improving the educators&#x2019; ability to connect with trainees, manage classroom dynamics, and inculcate a positive learning atmosphere.</p>
                <p>Additionally, the program incorporated reflective practices, including exercises that allowed educators to evaluate their teaching impact and assess how effectively they engaged emotionally with trainees. These reflections enabled educators to refine their approaches, enhancing both their emotional intelligence and their ability to connect with trainees on a deeper, more supportive level, ultimately improving the overall learning experience.</p>
            </sec>
            <sec id="sec17">
                <title>Building leadership and teamwork skills</title>
                <p>The CKC program emphasized the enhancement of both leadership abilities and collaborative skills among educators. The leadership development component of the program underscored the significance of leadership as a fundamental skill for educators, equipping them with the tools necessary for effectively guiding, inspiring, and motivating trainees. Through CKC modules, educators learned how to mentor interns and new staff, provide career guidance, and create a positive, supportive learning environment. This focus on leadership not only helped the educators become stronger role models for their trainees but also enabled them to nudge growth and collaboration within their teams.</p>
                <p>Additionally, the program emphasized the significance of teamwork, highlighting how collaboration among educators and mentors was essential to establish a cohesive and dynamic learning ecosystem. By sharing best practices, exchanging ideas, and providing mutual support, educators enhanced their collective effectiveness. This collaborative approach established a supportive network that enabled educators to refine their teaching strategies, learn from one another, and ultimately improve the overall learning experience for trainees.</p>
            </sec>
            <sec id="sec18">
                <title>Feedback mechanisms and iterative improvement</title>
                <p>The integral role of feedback and continuous learning in the CKC program was to facilitate improvement. A robust feedback culture was established, encouraging trainees to actively seek input from other trainees, peers, and mentors to refine and enhance their teaching methods. This practice enabled educators to adapt their lesson plans and strategies based on constructive suggestions, ensuring responsiveness to the diverse needs of their trainees. For example, educators might incorporate feedback to adjust their teaching style or content delivery, making lessons more accessible and engaging.</p>
                <p>Additionally, the concept of iterative learning was central to the CKC approach. Educators were encouraged to view challenges and setbacks as opportunities for growth rather than as obstacles. By embracing this mindset, they were able to continuously improve both their teaching and clinical practices, adapting their methods to become more effective over time. This commitment to iterative improvement ensured that educators remained reflective and proactive to enhancing their skills, ultimately benefiting both their professional development and the learning experience of their trainees.</p>
            </sec>
            <sec id="sec19">
                <title>Program-specific innovations</title>
                <p>Educators highlighted some of the unique and innovative aspects of the CKC program that distinguish it from traditional teaching methods. One of the program&#x2019;s outstanding features was its structured framework, which emphasized four key stages: attention, retention, application, and reflection. This novel approach was particularly well-received by educators, as it offered a clear and systematic method of ensuring knowledge transfer throughout the learning process. By guiding both educators and trainees through these stages, the program enhanced engagement and deepened understanding, making the learning experience more effective and impactful.</p>
                <p>Another key innovation was CKC&#x2019;s hybrid learning model, which combined both online and offline sessions, providing flexibility and accessibility for trainees. Some trainees encountered technological or logistical barriers that occasionally hindered full participation. Despite these obstacles, one of the program&#x2019;s most notable features was its use of simulation-based learning. This hands-on approach enabled educators to practice and refine their skills in realistic clinical scenarios, offering valuable experiential learning opportunities that bridged the gap between theory and practice. Overall, these innovations played a critical role in enhancing the learning experience while also presenting opportunities for growth and adaptation.</p>
            </sec>
            <sec id="sec20">
                <title>Career clarity and pathway planning</title>
                <p>The CKC program played a significant role in helping young educators gain a clearer understanding of their career trajectories and the steps necessary to achieve their professional aspirations. Through the program&#x2019;s guidance and structure, educators were able to reflect on their career goals and identify potential pathways for advancement in their fields. Many trainees, for instance, noted that the CKCs inspired them to pursue further studies or to specialize more deeply in optometry, as they gained a better understanding of the opportunities available to them.</p>
                <p>Beyond their career development, educators also embraced the role of mentors, guiding trainees as they navigated career-related decisions. This dual role&#x2014;as both mentors and clinicians&#x2014;enabled educators to pursue their professional growth while positively influencing the career path of their trainees. This reciprocal mentoring environment created a dynamic and supportive learning atmosphere in which both educators and trainees benefited from ongoing career clarity.</p>
                <p>These trainees observed that the workload in this role was overwhelming at times, and they acknowledged a need for additional support to help manage the pressures of both professional responsibilities and personal commitments. This underscored a nuanced perspective on gender dynamics in optometry education, where, despite the existence of gender equality in representation, other factors&#x2014;such as workload and family responsibilities&#x2014;may still disproportionately impact women in the profession.</p>
            </sec>
            <sec id="sec21">
                <title>Community and professional networks</title>
                <p>The CKC program significantly contributed to the development of both social and professional connections for its trainees. One of the key outcomes of the program was the establishment of a strong sense of community among clinical educators. This community extended beyond the immediate framework of the program, providing ongoing support and collaboration even after its conclusion. Educators were able to cultivate meaningful relationships with their peers, developing a network of support, advice, and shared resources. Furthermore, CKC offered numerous networking opportunities for participants, enabling them to engage in seminars, case presentations, and cross-campus collaborations. These networking events exposed participants to a wider professional network, facilitating connections with experts in the field and enhancing their influence within the optometry community. These joint experiences in cooperation and communication not only enriched their professional development but also helped establish valuable relationships that could support career advancement, future collaborations, and the exchange of knowledge and best practices across various institutions and settings. The reason for willingly working with the newly formed team within and outside the workplace and workhours may be attributed to significant improvements in time management and willingness to socialize.</p>
            </sec>
            <sec id="sec22">
                <title>Long-term vision for CKC</title>
                <p>Participants offered valuable suggestions for improvement, particularly regarding the streamlining of CKC modules to promote better organization and consistency. This approach would facilitate a more cohesive learning experience, where each module would be clearly defined and logically build upon the previous one. Additionally, there was a strong call to expand subspecialty training, as participants believed that more focused and specialized content would better meet the diverse needs of educators in the fields of optometry and allied healthcare services.</p>
                <p>Additionally, the introduction of a more advanced mentorship model was emphasized, aiming to provide tailored and in-depth guidance to educators and support their growth at various stages of their careers. Along with the program&#x2019;s significant impact, concerns arose regarding its long-term sustainability and scalability.</p>
                <p>The intensity of the program, while contributing to its effectiveness, also posed challenges in terms of resources and support. The participants worried that without additional funding, personnel, and infrastructure, maintaining the program&#x2019;s high standards and expanding its reach to more educators would become difficult. Ensuring the program&#x2019;s sustainability would require strategic investments and planning to manage its growth while preserving its quality and effectiveness.</p>
            </sec>
            <sec id="sec23">
                <title>Challenges with the CKC program</title>
                <p>Several obstacles were encountered by the trainees in engaging with the program&#x2019;s structure and demands made of them. A key challenge was adapting to the novelty of CKC&#x2019;s active learning strategies. As the program introduced innovative methods, such as interactive learning and participatory learning, educators initially struggled to understand and implement these unfamiliar techniques, which resulted in slower progress.</p>
                <p>Another significant issue was time management. Balancing the demands of CKC training with clinical responsibilities and personal study created a sense of being overwhelmed, particularly in the early stages of the program. Additionally, the pragmatic approach to CKC program design during the initial training phases presented challenges to some participants. These challenges included the lack of comprehensive training in certain subspecialties, and poorly structured mentorship for specific modules which left participants feeling unsupported in their learning journeys. Collectively, these issues underscored the need for improved preparation, support, and resource allocation to enhance the program&#x2019;s effectiveness.</p>
            </sec>
        </sec>
        <sec id="sec24" sec-type="discussion">
            <title>Discussion</title>
            <p>This study examined the impact of the CKC faculty development program on junior optometry educators, revealing significant advancements in teaching methodologies, clinical competencies, and professional identity. Although initially designed to address clinical training needs, the CKC program incorporated interprofessional learning components, thereby broadening its scope and enhancing participants&#x2019; educational experiences.</p>
            <p>A key finding was the shift from traditional, passive learning to active, learner-centered engagement strategies. This transformation vouchsafed a more dynamic educational environment, benefiting both educators and trainees. These results align with the literature on active learning which states that active learning promoties critical thinking and deeper understanding of a topic. Notably, trainees reported an improved ability to connect theoretical knowledge to clinical application&#x2014;an essential skill for modern healthcare educators.</p>
            <p>Beyond pedagogical benefits, the program promoted significant personal and professional development. Trainees reported increased confidence, improved communication skills, and the development of leadership qualities. Many described their transformation from hesitant novices to assertive mentors and clinicians, highlighting the program&#x2019;s profound impact on their evolving professional identities. Furthermore, the program&#x2019;s focus on evidence-based practice cultivated a culture of continuous learning and encouraged the incorporation of current research into teaching methodologies.</p>
            <p>The interview process further underscored the program&#x2019;s impact. Trainees were open and reflective, actively engaging in discussions about their experiences. Their willingness to provide constructive feedback highlights a developing professional mindset and a commitment to educational excellence.</p>
            <p>Despite the program&#x2019;s positive impact, several challenges emerged during its implementation. Trainees frequently reported difficulties in adapting to CKC&#x2019;s innovative pedagogical approach, balancing clinical and academic responsibilities, and addressing limited access to teaching resources. These concerns were particularly pronounced as most trainees had only recently completed their undergraduate training. While the program effectively accelerated their clinical learning and nurtured teaching skills, the swift transition from trainee to educator presented a steep learning curve.</p>
            <p>However, these challenges were significantly alleviated by the structured mentorship and peer support mechanisms integrated into the program. The CKC initiative cultivated a strong sense of community and collegiality, allowing trainees to share experiences, collaboratively navigate obstacles, and learn from one another. These support systems were crucial in facilitating the transition into educational roles, especially within an innovative teaching model like CKC. The significance of such structured support in early-stage faculty development cannot be overstated.</p>
            <p>The CKC program modules should be streamlined for improved time management and delivery, and its sustainability and broader impact. Integrating subspecialty training can address curriculum gaps and enhance clinical preparedness. Enhanced access to simulation tools and teaching resources is essential for strengthening hands-on learning. Addressing workload concerns and offering flexible compensation models will help prevent burnout, and motivate and retain educators in the eye care system. Additionally, the CKC framework demonstrates the potential for adaptation across various healthcare disciplines. Future research should investigate its long-term effects on educator development and trainee outcomes, as well as its adaptability in diverse educational settings.</p>
        </sec>
        <sec id="sec25">
            <title>Ethical considerations</title>
            <p>Our study was approved by the Institutional Review Board on July 27, 2024, under Ethics Reference No: LEC-BHR-P-07-2024-104.</p>
            <p>An informed consent form was distributed to the trainees via online written Google Forms one week before the interview, explaining the study&#x2019;s purpose, confidentiality measures, and voluntary participation terms. Only those who provided informed consent were included in the study.</p>
        </sec>
        <sec id="sec26">
            <title>Additional information</title>
            <p>Correspondence and requests for materials should be addressed to Jhansi Priyanka (
                <email xlink:href="mailto:jhansipriyanka@lvpei.org">jhansipriyanka@lvpei.org</email>) or Snigdha (
                <email xlink:href="mailto:snigdha@lvpei.org">snigdha@lvpei.org</email>).</p>
        </sec>
    </body>
    <back>
        <sec id="sec29">
            <title>Data availability statement</title>
            <sec id="sec30">
                <title>Underlying data</title>
                <p>

                    <list list-type="order">
                        <list-item>
                            <label>1.</label>
                            <p>Figshare: Table 1: Key Themes and Participant Statements on the CKC Faculty Development Program. figshare. Dataset. 
                                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.28333772.v1">https://doi.org/10.6084/m9.figshare.28333772.v1</ext-link>.
                                <sup>
                                    <xref ref-type="bibr" rid="ref12">12</xref>
                                </sup>
                            </p>
                        </list-item>
                    </list>
                </p>
                <p>This project contains the following underlying data:</p>
                <p>
Table 1.xlsx</p>
                <p>Data are available under the terms of the 
                    <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International license</ext-link> (CC BY 4.0).
                    <list list-type="order">
                        <list-item>
                            <label>2.</label>
                            <p>Figshare: Table 2: Overview of training modules in the CKC faculty development program. figshare. Dataset. 
                                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.28333796.v1">https://doi.org/10.6084/m9.figshare.28333796.v1</ext-link>.
                                <sup>
                                    <xref ref-type="bibr" rid="ref13">13</xref>
                                </sup>
                            </p>
                            <p>This project contains the following underlying data:</p>
                            <p>
Table 2.xlsx</p>
                            <p>Data are available under the terms of the 
                                <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International license</ext-link> (CC BY 4.0).</p>
                        </list-item>
                    </list>
                </p>
            </sec>
            <sec id="sec31">
                <title>Extended data</title>
                <p>Priyanka, Jhansi (2025). Structured Interview for CKC Program Evaluation: Educators&#x2019; Feedback and Experience. figshare. Dataset. 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.28333805.v1">https://doi.org/10.6084/m9.figshare.28333805.v1</ext-link>.
                    <sup>
                        <xref ref-type="bibr" rid="ref14">14</xref>
                    </sup>
                </p>
                <p>Priyanka, Jhansi (2025). &#x201c;Supplementary Dataset: Transcripts of Junior Educators&#x2019; Interviews on Their Experience in an Advanced Eye Care Centre After Faculty Development Training&#x201d;. figshare. Dataset. 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.28615130.v2">https://doi.org/10.6084/m9.figshare.28615130.v2</ext-link>.
                    <sup>
                        <xref ref-type="bibr" rid="ref15">15</xref>
                    </sup>
                </p>
                <p>Priyanka, Jhansi (2025). Supplementary Material: Consolidated Criteria for Reporting Qualitative Research (COREQ) &#x2013; A 32-Item Checklist for Interviews and Focus Groups figshare. Dataset. 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.28615331.v1">https://doi.org/10.6084/m9.figshare.28615331.v1</ext-link>.
                    <sup>
                        <xref ref-type="bibr" rid="ref16">16</xref>
                    </sup>
                </p>
                <p>Data are available under the terms of the 
                    <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International license</ext-link> (CC BY 4.0).</p>
            </sec>
        </sec>
        <ack>
            <title>Acknowledgments</title>
            <p>We would like to express our gratitude to the 16 educators at the Standard Chartered LVPEI Academy for Eye Care Education for their invaluable contributions to the development and implementation of active learning strategies within the teaching and training modules. Additionally, we acknowledge the use of artificial intelligence (AI) tools for writing assistance in the preparation of this manuscript.</p>
        </ack>
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                        <name name-style="western">
                            <surname>Grillo</surname>
                            <given-names>JA</given-names>
                        </name>
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                    <article-title>Satisfaction of Junior Faculty with Academic Role Functions.</article-title>
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                        </name>
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                    <data-title>Table 1: Key Themes and Participant Statements on the CKC Faculty Development Program. figshare.</data-title>Dataset.<year>2025</year>.
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                    <data-title>Table 2: Overview of Training Modules in the CKC Faculty Development Program. figshare.</data-title>Dataset.<year>2025</year>.
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                    <data-title>Structured Interview for CKC Program Evaluation: Educators&#x2019; Feedback and Experience. figshare.</data-title>Dataset.<year>2025</year>.
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    </back>
    <sub-article article-type="reviewer-report" id="report403995">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.179621.r403995</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Torti</surname>
                        <given-names>Jacqueline</given-names>
                    </name>
                    <xref ref-type="aff" rid="r403995a1">1</xref>
                    <xref ref-type="aff" rid="r403995a2">2</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-4518-0255</uri>
                </contrib>
                <aff id="r403995a1">
                    <label>1</label>Western University (Ringgold ID: 6221), London, Ontario, Canada</aff>
                <aff id="r403995a2">
                    <label>2</label>University of Alberta, Alberta, Canada</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>24</day>
                <month>3</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Torti J</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport403995" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.163297.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>
                <bold>Abstract:</bold> 
                <list list-type="bullet">
                    <list-item>
                        <p>After reading the introduction and methods section, it&#x2019;s not entirely clear what the specific research question or overall purpose of the study is. Could this be stated more explicitly?</p>
                    </list-item>
                    <list-item>
                        <p>The phrasing&#x00a0;&#x201c;A questionnaire and one-on-one interviews were conducted with 20 junior educators, 16 of whom participated&#x201d;&#x00a0;is a bit confusing. If both a questionnaire and interviews were conducted with 20 educators, how did only 16 participate? Do you mean 20 were invited, and 16 took part?</p>
                    </list-item>
                    <list-item>
                        <p>The methodology is not entirely clear from the abstract. Was this intended as a mixed-methods design? If so, it would help to clarify the type of design and rationale for using it.</p>
                    </list-item>
                    <list-item>
                        <p>Similarly, it&#x2019;s not clear what type of analysis was used for the questionnaire and interviews. For example, was the qualitative data analyzed thematically? Providing this detail would strengthen the methods section.</p>
                    </list-item>
                    <list-item>
                        <p>It would also be helpful to specify what the questionnaire measured and the focus of the interviews.</p>
                    </list-item>
                    <list-item>
                        <p>The reader may not have sufficient background on the CKC program, which seems integral to understanding both the study population and the results. Could you add a brief description?</p>
                    </list-item>
                    <list-item>
                        <p>In the results section, it&#x2019;s not clear whether the findings presented integrate both the questionnaire and interview data. Linking the results more explicitly to the themes identified in the methods would improve clarity.</p>
                    </list-item>
                    <list-item>
                        <p>The conclusion currently reads more like a program evaluation. Without a clear purpose statement or research question at the outset, it&#x2019;s difficult for the reader to assess whether the conclusions align with the study&#x2019;s goals.</p>
                    </list-item>
                </list> </p>
            <p> </p>
            <p> 
                <bold>Introduction</bold> 
                <list list-type="bullet">
                    <list-item>
                        <p>The first paragraph reads a bit disjointed. Could you consider revising for greater clarity and flow? For example, are you trying to argue that mentorship is the cornerstone of peer teaching? If so, it might help to make this link more explicit.</p>
                    </list-item>
                    <list-item>
                        <p>In the second paragraph, you state:&#x00a0;
                            <italic>&#x201c;Initial assessments of attitudes and tailored training programs enhance their teaching capabilities.&#x201d;</italic>&#x00a0;Could you clarify&#x2014;attitudes towards what specifically?</p>
                    </list-item>
                    <list-item>
                        <p>In paragraph three, it would be helpful to draw a clearer connection between faculty development and peer teaching. At present, it&#x2019;s not entirely clear how this supports your overall argument. Perhaps you could integrate some of the ideas from this paragraph into your discussion of peer teaching?</p>
                    </list-item>
                    <list-item>
                        <p>In paragraph five, the statement&#x00a0;
                            <italic>&#x201c;Opining that the value of education was in learning and sharing knowledge, we articulated that receiving structured training was of primary importance, not whether the trainees chose to continue working with the organization long after finishing their training.&#x201d;</italic>&#x00a0;is difficult to follow. How are these two ideas connected? How does retention of trainees into faculty roles relate to structured training? And when you mention &#x201c;structured training,&#x201d; could you clarify what type (e.g., in medical education more broadly, or in something more specific)?</p>
                    </list-item>
                    <list-item>
                        <p>You note:&#x00a0;
                            <italic>&#x201c;We began to gather information on the experiences of new junior educators and recent appointees on the faculty tenure track who need support from senior faculty, including a preliminary orientation on foundation skills and pedagogy that helped make complex concepts understandable.&#x201d;</italic>&#x00a0;Could you clarify the distinction between &#x201c;new junior educators&#x201d; and &#x201c;recent appointees&#x201d;? Also, how did you identify individuals who needed this type of support?</p>
                    </list-item>
                    <list-item>
                        <p>Could you define what LVPEI stands for?</p>
                    </list-item>
                    <list-item>
                        <p>Could you briefly outline the ten core optometry modules so the reader has a better sense of the content?</p>
                    </list-item>
                    <list-item>
                        <p>What was the role of senior faculty mentors? From the description, it sounds like they taught the modules&#x2014;did they also provide other forms of mentorship?</p>
                    </list-item>
                    <list-item>
                        <p>The phrase&#x00a0;
                            <italic>&#x201c;stay the course&#x201d;</italic>&#x00a0;is a bit ambiguous in the following context:&#x00a0;
                            <italic>&#x201c;Our present inquiry explored the barriers and facilitators that help entry-level professional educators stay the course with self-discipline, discernment, and unswaying interest in reading, studying, knowing, delving into the depths of theory and practice, finding the facts, and sharing, discussing, and debating, which lead to the realization of one&#x2019;s potential.&#x201d;</italic>&#x00a0;Do you mean complete the course? Was the course mandatory or optional? How were mentors recruited, and how were participants enrolled in the course?</p>
                    </list-item>
                    <list-item>
                        <p>You mention &#x201c;realization of one&#x2019;s potential&#x201d;&#x2014;was this the main goal of the program? It might help readers if you included the learning objectives and intended learning outcomes.</p>
                    </list-item>
                    <list-item>
                        <p>It is still somewhat unclear what the primary purpose of the study was. Were you mainly exploring (a) facilitators and barriers to program engagement, (b) facilitators and barriers to learning the content, or (c) the impact of active learning strategies? Clarifying this would strengthen the manuscript. You might consider explicitly listing research questions, or organizing into primary and secondary objectives.</p>
                    </list-item>
                    <list-item>
                        <p>Finally, you state that you&#x00a0;
                            <italic>&#x201c;tested the tenacity of newcomers as confirmed educators.&#x201d;</italic>&#x00a0;Could you clarify what you mean by &#x201c;confirmed educators&#x201d;? This term is unclear as written.</p>
                    </list-item>
                </list> </p>
            <p> 
                <bold>Methods</bold> 
                <list list-type="bullet">
                    <list-item>
                        <p>You state that this was a qualitative study. Could you clarify what type of qualitative study design you used?</p>
                    </list-item>
                    <list-item>
                        <p>Questionnaires are more typically associated with quantitative inquiry. Could you justify the use of a questionnaire as part of this qualitative design? Was the questionnaire validated, and what exactly did it assess?</p>
                    </list-item>
                    <list-item>
                        <p>It is still unclear what the ten domains were that you assessed. Could you also clarify what the 15 clinical specialties were?</p>
                    </list-item>
                    <list-item>
                        <p>From the way the study is presented, it sounds more like a program evaluation than a specific qualitative research design. Is this the case? If not, could you clarify how the questionnaire questions aligned with the objectives outlined in the introduction?</p>
                    </list-item>
                    <list-item>
                        <p>You note that the aim of the questionnaire was to&#x00a0;
                            <italic>&#x201c;evaluate teaching readiness, mentorship quality, and skill development in areas such as lesson planning, content delivery, and the use of active learning strategies.&#x201d;</italic>&#x00a0;This appears somewhat different from the focus described at the end of the introduction. Could you please clarify the alignment between the introduction and this aim?</p>
                    </list-item>
                    <list-item>
                        <p>In the methods section, you first describe developing a questionnaire, but later you refer to individual interviews. Could you clarify the nature of these interviews&#x2014;were they semi-structured? Also, when you use the term &#x201c;questionnaire,&#x201d; are you in fact referring to an interview guide?</p>
                    </list-item>
                    <list-item>
                        <p>You state that as part of the informed consent process, participants were provided with the purpose of the study. Could you clarify what purpose was conveyed to them, and how this relates to the purpose outlined in the introduction and methods section?</p>
                    </list-item>
                    <list-item>
                        <p>You mention the use of ChatGPT to analyze the interviews. Did you have ethics approval and explicit participant consent to upload transcripts to this AI tool?</p>
                    </list-item>
                    <list-item>
                        <p>Could you specify what type of analysis was conducted on the data?</p>
                    </list-item>
                    <list-item>
                        <p>What prompts were provided to ChatGPT for analysis? In addition, what type of human oversight was involved, and how did members of the research team engage in inductive reasoning and analysis alongside ChatGPT?</p>
                    </list-item>
                    <list-item>
                        <p>You note that 17 key themes were identified. This is unusual for qualitative inquiry, where typically 4&#x2013;6 key themes are reported. Were these truly distinct themes, or were some better categorized as subthemes?</p>
                    </list-item>
                    <list-item>
                        <p>Rigour in qualitative research is often strengthened through iterative, concurrent data collection and analysis. Could you explain why you chose to collect all of the data before beginning analysis?</p>
                    </list-item>
                    <list-item>
                        <p>Finally, what strategies did you use to ensure rigour in your study overall?</p>
                    </list-item>
                </list> </p>
            <p> 
                <bold>Results</bold> 
                <list list-type="bullet">
                    <list-item>
                        <p>You state,&#x00a0;
                            <italic>&#x201c;A total of 20 junior educators were selected for structured one-on-one interviews.&#x201d;</italic>&#x00a0;Could you clarify how they were selected? What type of sampling strategy was used?</p>
                    </list-item>
                    <list-item>
                        <p>You note,&#x00a0;
                            <italic>&#x201c;The interviews of trainees were conducted online via Microsoft Teams.&#x201d;</italic>&#x00a0;Earlier you said you interviewed educators&#x2014;can you clarify this apparent discrepancy?</p>
                    </list-item>
                    <list-item>
                        <p>The beginning of the results section reads more like methods, with overlap from what you&#x2019;ve already described there. Could you revise so the first paragraph of the results focuses on the outcomes of the methods (i.e., participant details, interview data), and move anything methodological back into the methods? Similarly, the second paragraph also belongs in the methods section.</p>
                    </list-item>
                    <list-item>
                        <p>You write,&#x00a0;
                            <italic>&#x201c;the final themes were established following a focused group discussion among the authors.&#x201d;</italic>&#x00a0;Was this part of the data or simply an analytic team meeting? If the latter, please avoid using the term &#x201c;focus group,&#x201d; as this refers to a distinct data collection method.</p>
                    </list-item>
                    <list-item>
                        <p>You state,&#x00a0;
                            <italic>&#x201c;to maintain objectivity, the facilitator refrained from prompting responses, and all themes were derived directly from the transcripts.&#x201d;</italic>&#x00a0;Could you clarify what you mean here? Why was objectivity emphasized, and how does refraining from prompting responses fit with your study design? Please provide a rationale for this approach.</p>
                    </list-item>
                    <list-item>
                        <p>Who was the facilitator? Were they part of the research team?</p>
                    </list-item>
                    <list-item>
                        <p>You note,&#x00a0;
                            <italic>&#x201c;the facilitator and primary investigator, with support from ChatGPT Mini 4.0, identified the themes.&#x201d;</italic>&#x00a0;Could you expand on how exactly this was done? What steps were taken, and how did AI use intersect with the team&#x2019;s analysis?</p>
                    </list-item>
                    <list-item>
                        <p>This description (2
                            <sup>nd</sup> paragraph) would be better integrated into the methods section to reduce repetition in the results.</p>
                    </list-item>
                    <list-item>
                        <p>You state that you identified 17 themes but only describe 16. Why is one missing? More broadly, having 17 themes is unusual in qualitative inquiry. Could some of these have been grouped as sub-themes? It is also difficult to assess the appropriateness of the themes without a clear statement of research questions or objectives.</p>
                    </list-item>
                    <list-item>
                        <p>Table 1 is difficult to follow alongside your results. How eere the subthemes integrated into your results section? Also, why is there only one quote per theme? Including multiple, representative quotes strengthens credibility.</p>
                    </list-item>
                    <list-item>
                        <p>Could you attribute the quotes to participants (e.g., using participant numbers)? This would help readers interpret the findings.</p>
                    </list-item>
                    <list-item>
                        <p>Were there any discrepant or negative cases identified in the data? If so, how were they addressed?</p>
                    </list-item>
                    <list-item>
                        <p>The first paragraph under&#x00a0;
                            <italic>&#x201c;Transitioning from traditional to active learning strategies&#x201d;</italic>&#x00a0;reads more like an introduction or discussion rather than results. Similarly, in the final paragraph of this section, claims about a &#x201c;profound&#x201d; impact do not appear substantiated by the data presented. Could you revise accordingly?</p>
                    </list-item>
                    <list-item>
                        <p>In the&#x00a0;
                            <italic>&#x201c;Improvement in teaching and clinical skills&#x201d;</italic>&#x00a0;section, the statement on Bloom&#x2019;s Taxonomy does not read as a finding. Could you clarify how this emerged from participant data, or consider moving this to discussion?</p>
                    </list-item>
                    <list-item>
                        <p>In the&#x00a0;
                            <italic>&#x201c;Mentorship and support systems&#x201d;</italic>&#x00a0;section, much of the text reads as interpretation rather than data.&#x00a0;Just a reminder: in qualitative manuscripts, the results section typically presents the participant data (supported by quotes), while interpretation, contextualization, and linking to literature belong in the discussion.</p>
                    </list-item>
                    <list-item>
                        <p>Under&#x00a0;
                            <italic>&#x201c;Personal and professional development&#x201d;</italic>, you state that&#x00a0;
                            <italic>&#x201c;educators experienced significant transformations.&#x201d; </italic>Could you clarify how you are defining or assessing &#x201c;significant&#x201d;? Please avoid quantitative terminology when interpreting qualitative findings.</p>
                    </list-item>
                    <list-item>
                        <p>The ordering of themes in the results feels arbitrary. Could you provide a clearer logic for the sequence, and draw connections between themes? A hallmark of qualitative analysis is to interpret themes in relation to one another and the study as a whole, rather than present them as isolated points.</p>
                    </list-item>
                    <list-item>
                        <p>Some of the results sections read more like descriptions of the program itself rather than participants&#x2019; experiences of the program. These details are better suited for the introduction or methods. The results should highlight participant voices and interpretations.</p>
                    </list-item>
                    <list-item>
                        <p>Overall, many of the concerns above apply across the thematic sections:</p>
                        <p> (1)&#x00a0;Some sections present interpretation or discussion rather than results,</p>
                        <p> (2)&#x00a0;Some read as program description rather than participant experience, and</p>
                        <p> (3)&#x00a0;There is limited integration or interpretation of themes across the dataset.</p>
                    </list-item>
                </list> </p>
            <p> 
                <bold>Discussion</bold> 
                <list list-type="bullet">
                    <list-item>
                        <p>I noticed that there are currently no citations included in the discussion section. The discussion is an important space in an academic paper to situate your findings in relation to existing scholarship, highlighting how your results align with, extend, or challenge what is already known in the field. In addition, the discussion should contextualize your study&#x2019;s contributions, acknowledge limitations, and point toward implications for future research or practice. I would encourage you to integrate relevant literature throughout the discussion to strengthen your arguments, demonstrate awareness of the broader evidence base, and enhance the credibility of your interpretations.</p>
                    </list-item>
                    <list-item>
                        <p>Several of the conclusions in the discussion appear to extend beyond what is substantiated by the results presented. For example, claims about benefits such as &#x201c;significant personal and professional development&#x201d; are not clearly supported by the data as currently described. I encourage the authors to revisit these sections to ensure that interpretations remain grounded in the participants&#x2019; voices and the evidence provided, and to avoid over-generalizations. Strengthening the alignment between the results and the conclusions will make the paper&#x2019;s contributions more compelling and credible.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Not applicable</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>No</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>No</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>NA</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
    </sub-article>
</article>
