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Related Experiment Video

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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Practitioner research and formative assessment.

Joslyn Kirby1, David Baird1, Kaleen Burton2

  • 1Department of Dermatology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA.

The Clinical Teacher
|July 17, 2015
PubMed
Summary
This summary is machine-generated.

The Formative Assessment of Skills in Training (FAST) tool provides valuable text-based feedback for residents, improving workplace-based formative assessment (WFA). This tool was successfully integrated into the curriculum, enhancing feedback quality with minimal impact on clinic visit times.

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Area of Science:

  • Medical Education
  • Workplace-based Assessment
  • Feedback Mechanisms

Background:

  • Existing workplace-based formative assessment (WFA) tools offer limited text-based feedback, which is crucial for resident development.
  • Residents often struggle to interpret numerical scores or rankings, highlighting the need for qualitative feedback.
  • A formal WFA program was absent, necessitating the development of a new tool.

Purpose of the Study:

  • To develop and evaluate the Formative Assessment of Skills in Training (FAST) tool, a primarily text-based feedback instrument.
  • To assess the feasibility and impact of the FAST tool within a residency program using action research.

Main Methods:

  • Employed action research (AR) methodology with iterative plan-act-observe-reflect cycles.
  • Conducted 133 assessments using the FAST tool involving 13 residents and 11 faculty members over three study cycles.
  • Collected data through post-use surveys to gather participant feedback.

Main Results:

  • 83% of participants supported the integration of the FAST tool into the resident curriculum.
  • Time commitment was a perceived barrier, but time studies confirmed no significant increase in resident wait times or patient visit durations.
  • Modifications to the FAST form increased comment space, leading to more specific and detailed feedback.

Conclusions:

  • The FAST tool effectively facilitates WFA by providing specific, written feedback that residents can retain.
  • The tool adds an average of 3 minutes to clinic visits, demonstrating its efficiency.
  • Action research proved instrumental in promoting WFA adoption, securing stakeholder buy-in, and refining the FAST tool.