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An Extended Validity Argument for Assessing Feedback Culture.

Steven Rougas1, Brian Clyne1, Anna T Cianciolo2

  • 1a Department of Emergency Medicine , Brown University , Providence , Rhode Island , USA.

Teaching and Learning in Medicine
|October 29, 2015
PubMed
Summary

This study developed a tool to measure feedback culture in academic emergency medicine, finding the "Market" and "Clan" archetypes were most prevalent. This tool can assess culture changes after implementing feedback improvement programs.

Keywords:
feedbackorganizational culturevalidity

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Area of Science:

  • Medical Education
  • Organizational Psychology

Background:

  • Academic institutions face regulatory changes impacting resident assessment.
  • Formative feedback is crucial for training advancement but lacks objective measurement tools.
  • Organizational culture assessment can gauge feedback culture success.

Purpose of the Study:

  • To develop a construct for measuring formative feedback culture in academic emergency medicine.
  • To adapt the Organizational Culture Assessment Instrument (OCAI) for this purpose.

Main Methods:

  • Modified Delphi technique and focus groups created a 16-item Formative Feedback Culture Tool (FFCT).
  • Administered FFCT to 26 emergency medicine residents (55% response rate).
  • Analyzed mean scores and assessed convergent/divergent validity of four archetypes (Market, Adhocracy, Clan, Hierarchy).

Main Results:

  • The Market archetype (results-oriented) dominated three FFCT domains.
  • The Clan archetype (personal growth) was highest in the "Definition of Successful Feedback" domain.
  • Clan and Hierarchy archetypes showed strongest convergent and divergent validity, respectively; Adhocracy showed weakest.

Conclusions:

  • A modified OCAI tool (FFCT) can feasibly identify resident feedback culture archetypes.
  • This tool may measure culture shifts after targeted feedback interventions.
  • Future research should validate FFCT generalizability and address Adhocracy archetype validity issues.