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Published on: January 17, 2013
The process of feedback in workplace-based assessment: organisation, delivery, continuity
Elisabeth A M Pelgrim1, Anneke W M Kramer, Henk G A Mokkink
1Department of Primary Care and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands. e.pelgrim@elg.umcn.nl
Effective workplace-based assessment (WBA) feedback requires planned observation and feedback sessions, adequate content and delivery, and trainee engagement with learning goals. Pre-feedback arrangements significantly influence trainee outcomes.
Area of Science:
- Medical Education
- Clinical Training
- Professional Development
Background:
- Workplace-based assessment (WBA) feedback is crucial for clinical training.
- Effective feedback relies on direct observation, yet trainees are not consistently observed.
- External factors influencing feedback in WBA require examination.
Purpose of the Study:
- To investigate external conditions impacting feedback within observational WBA.
- To understand factors influencing the effectiveness of feedback in clinical settings.
Main Methods:
- Qualitative phenomenological approach using interviews.
- 22 postgraduate general practice trainees interviewed in the Netherlands (Oct 2009 - Jan 2010).
- Transcripts analyzed by three researchers.
Main Results:
- A three-step scheme for beneficial feedback emerged: planned observation/feedback, adequate content/delivery, and trainee use for learning goals.
- Trainee emotions (negative/positive) influenced engagement with observation and feedback.
- Trainer engagement and institutional requirements impacted trainer-trainee pairs' interaction.
- Pre-feedback arrangements are critical for successful WBA feedback.
Conclusions:
- Feedback content, delivery, and integration into learning are vital, aligning with existing literature.
- The planning and arrangement phase preceding observation and feedback significantly impacts WBA effectiveness.
- Several antecedent factors influence feedback success or failure in clinical training.
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