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Enhancing Feedback on Professionalism and Communication Skills in Anesthesia Residency Programs.
John D Mitchell1, Cindy Ku, Carol Ann B Diachun
1From the *Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts; †Department of Anesthesiology, University of Florida-Jacksonville, Jacksonville, Florida; ‡Department of Anesthesiology, University of Kentucky, Lexington, Kentucky; §Department of Anesthesiology and Pediatrics, University of California, San Diego, San Diego, California; ‖Department of Anesthesiology, University of Rochester Medical Center, Rochester, New York; and ¶Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California.
A faculty development program did not improve overall feedback quantity, quality, or utility for residents. However, specific institutions showed improvements in feedback quality, constructive criticism, and communication skills after the intervention.
Area of Science:
- Medical Education
- Healthcare Professional Development
Background:
- Training faculty to provide effective feedback to residents is a persistent challenge in medical education.
- Feedback is crucial for resident development in professionalism and communication skills.
Purpose of the Study:
- To evaluate the impact of a faculty development program on the quantity, quality, and utility of feedback provided to residents.
- To assess changes in the proportion of feedback related to professionalism, communication, and constructive criticism.
Main Methods:
- A prospective cohort study involving a video-based educational intervention on feedback at four institutions.
- Feedback records from before and after the intervention were analyzed for quality, utility, and content (constructive/professionalism/communication).
- Statistical tests (Kruskal-Wallis, chi-squared) were used to compare feedback metrics across preintervention, intervention, and postintervention periods.
Main Results:
- No significant overall improvement was observed in feedback quantity, quality, or utility across the four institutions.
- While overall results were not significant, individual institutions demonstrated improvements in specific feedback metrics.
- Institution 1 showed enhanced feedback quality and utility, Institution 3 improved constructive feedback rates, and Institution 2 increased feedback on professionalism/communication.
Conclusions:
- The faculty development program did not yield significant overall improvements in feedback metrics.
- Varied institutional outcomes suggest the intervention's effectiveness may depend on factors like faculty experience or group size.
- Further research is needed to refine feedback rating systems and identify strategies for sustained improvements in feedback quality.
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