Feedback on feedback: a two-way street between residents and preceptors

Background: Workplace-based assessment (WBA), foundational to competency-based medical education, relies on preceptors providing feedback to residents. Preceptors however get little timely, formative, specific, actionable feedback on the effectiveness of that feedback. Our study aimed to identify u...

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Autores principales:	Jane Griffiths, Karen Schultz, Han Han, Nancy Dalgarno
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2021
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/88335f45cbf942d1bba1423163d98753
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spelling	oai:doaj.org-article:88335f45cbf942d1bba1423163d987532021-12-01T22:38:10ZFeedback on feedback: a two-way street between residents and preceptors10.36834/cmej.699131923-1202https://doaj.org/article/88335f45cbf942d1bba1423163d987532021-01-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/69913https://doaj.org/toc/1923-1202 Background: Workplace-based assessment (WBA), foundational to competency-based medical education, relies on preceptors providing feedback to residents. Preceptors however get little timely, formative, specific, actionable feedback on the effectiveness of that feedback. Our study aimed to identify useful qualities of feedback for family medicine residents and to inform improving feedback-giving skills for preceptors in PGME training program. Methods: This study employed a two-phase exploratory design. Phase 1 collected qualitative data from preceptor feedback given to residents through Field Notes (FNs) and quantitative data from residents who provided feedback to preceptor about the quality of the feedback given. Phase 2 employed focus groups to explore ways in which residents are willing to provide preceptors with constructive feedback about the quality of the feedback they receive. Descriptive statistics and a thematic approach were used for data analysis. Findings: We collected 22 FNs identified by residents as being impactful to their learning; analysis of these FNs resulted in five themes. Functionality was then added to the electronic FNs allowing residents to indicate impactful feedback with a “Thumbs Up” icon. Over one year, 895 out of 8,496 FNs (11%) had a “Thumbs up” added, divided into reasons of: confirmation of learning (28.6%), practice improvement (21.2%), new learning (18.8%), motivation (17.7%), and evoking reflection (13.7%). Two focus groups (12 residents, convenience sampling) explored residents’ perception of constructive feedback and willingness to also provide constructive feedback to preceptors. Conclusion: Adding constructive feedback to existing positive feedback choices will provide preceptors with holistic information about the impact of their feedback on learners, which, in turn, should allow them to provide more effective feedback to learners. However, power differential, relationship impact, and institutional support were concerns for residents that would need to be addressed for this to be optimally operationalized. Jane GriffithsKaren SchultzHan HanNancy DalgarnoCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 12, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Jane Griffiths Karen Schultz Han Han Nancy Dalgarno Feedback on feedback: a two-way street between residents and preceptors
description	Background: Workplace-based assessment (WBA), foundational to competency-based medical education, relies on preceptors providing feedback to residents. Preceptors however get little timely, formative, specific, actionable feedback on the effectiveness of that feedback. Our study aimed to identify useful qualities of feedback for family medicine residents and to inform improving feedback-giving skills for preceptors in PGME training program. Methods: This study employed a two-phase exploratory design. Phase 1 collected qualitative data from preceptor feedback given to residents through Field Notes (FNs) and quantitative data from residents who provided feedback to preceptor about the quality of the feedback given. Phase 2 employed focus groups to explore ways in which residents are willing to provide preceptors with constructive feedback about the quality of the feedback they receive. Descriptive statistics and a thematic approach were used for data analysis. Findings: We collected 22 FNs identified by residents as being impactful to their learning; analysis of these FNs resulted in five themes. Functionality was then added to the electronic FNs allowing residents to indicate impactful feedback with a “Thumbs Up” icon. Over one year, 895 out of 8,496 FNs (11%) had a “Thumbs up” added, divided into reasons of: confirmation of learning (28.6%), practice improvement (21.2%), new learning (18.8%), motivation (17.7%), and evoking reflection (13.7%). Two focus groups (12 residents, convenience sampling) explored residents’ perception of constructive feedback and willingness to also provide constructive feedback to preceptors. Conclusion: Adding constructive feedback to existing positive feedback choices will provide preceptors with holistic information about the impact of their feedback on learners, which, in turn, should allow them to provide more effective feedback to learners. However, power differential, relationship impact, and institutional support were concerns for residents that would need to be addressed for this to be optimally operationalized.
format	article
author	Jane Griffiths Karen Schultz Han Han Nancy Dalgarno
author_facet	Jane Griffiths Karen Schultz Han Han Nancy Dalgarno
author_sort	Jane Griffiths
title	Feedback on feedback: a two-way street between residents and preceptors
title_short	Feedback on feedback: a two-way street between residents and preceptors
title_full	Feedback on feedback: a two-way street between residents and preceptors
title_fullStr	Feedback on feedback: a two-way street between residents and preceptors
title_full_unstemmed	Feedback on feedback: a two-way street between residents and preceptors
title_sort	feedback on feedback: a two-way street between residents and preceptors
publisher	Canadian Medical Education Journal
publishDate	2021
url	https://doaj.org/article/88335f45cbf942d1bba1423163d98753
work_keys_str_mv	AT janegriffiths feedbackonfeedbackatwowaystreetbetweenresidentsandpreceptors AT karenschultz feedbackonfeedbackatwowaystreetbetweenresidentsandpreceptors AT hanhan feedbackonfeedbackatwowaystreetbetweenresidentsandpreceptors AT nancydalgarno feedbackonfeedbackatwowaystreetbetweenresidentsandpreceptors
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Feedback on feedback: a two-way street between residents and preceptors

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