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Does feedback matter? Practice-based learning for medical students after a multi-institutional clinical performance
Malathi Srinivasan1, Karen E Hauer, Claudia Der-Martirosian
1Department of Medicine, Davis School of Medicine, University of California, Sacramento, California 95833, USA. malathi@ucdavis.edu
Medical Education
|August 31, 2007
Summary
Medical students’ self-assessment accuracy improved significantly after receiving performance feedback, including benchmarks, following a clinical performance examination (CPX). Videotape review alone did not enhance self-assessment skills.
Area of Science:
- Medical Education
- Clinical Skills Assessment
- Practice-Based Learning
Background:
- Accurate self-assessment is crucial for practice-based learning and identifying areas for clinical skill improvement.
- This study investigates the effect of performance benchmark feedback on medical students' self-assessment accuracy post-clinical performance examination (CPX).
Purpose of the Study:
- To evaluate the impact of performance benchmarks on medical students' self-assessment accuracy after a CPX.
- To determine if videotape review alone improves self-assessment compared to feedback with benchmarks.
Main Methods:
- A practice-based learning exercise involving an 8-station CPX was conducted across three institutions.
- Standardized patients (SPs) scored student performance using expert-developed checklists.
- Students self-assessed performance immediately after the CPX (Phase 1) and after reviewing videotaped sessions (Phase 2), with some receiving performance benchmarks before the review.
Main Results:
- Initial self-assessment (Phase 1) showed weak correlation with SP ratings (r = 0.01-0.16).
- Without feedback, Phase 2 correlations remained weak (r = 0.13-0.18).
- With performance benchmark feedback, Phase 2 correlations significantly improved (r = 0.26-0.47), with low-performing students showing the most improvement.
Conclusions:
- Medical students exhibit poor self-assessment accuracy after a CPX.
- Performance feedback, including scores and benchmarks, significantly enhances self-assessment accuracy.
- Practice-based learning incorporating feedback is a promising strategy for improving medical students' self-assessment skills.
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