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Positive Change in Feedback Perceptions and Behavior: A 10-Year Follow-up Study.
Dorene F Balmer1,2, Rebecca Tenney-Soeiro3,2, Erika Mejia2
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; and balmerd@email.chop.edu.
Pediatrics
|December 9, 2017
Summary
Medical education feedback perceptions and behaviors have evolved positively over a decade, influenced by institutional changes like pediatric milestones. Residents now prioritize learning over grades, showing improved feedback engagement.
Area of Science:
- Medical Education
- Qualitative Research
- Healthcare Professional Development
Background:
- Feedback in medical education is crucial yet often resistant to change.
- A decade of clinical context evolution prompted an investigation into feedback perceptions and behaviors.
- The study examines how contextual affordances influence feedback dynamics in pediatric residency.
Purpose of the Study:
- To assess changes in feedback perceptions and behaviors in pediatric education over ten years.
- To understand how evolving clinical contexts impact the delivery and reception of feedback.
- To identify factors contributing to progress in feedback practices within medical training.
Main Methods:
- A follow-up ethnographic study comparing 2007 and 2017 data from pediatric residency programs.
- Involved extensive observations (34 hours in 2017 vs. 21 in 2007) and interviews (25 in 2017 vs. 35 in 2007).
- Analysis of program documents and coding data against three pre-defined feedback recommendations.
Main Results:
- Significant progress was observed in achieving feedback recommendations compared to 2007.
- Participants in 2017 demonstrated a clearer distinction between feedback and evaluation.
- Residents showed increased awareness of in-the-moment feedback and a shift towards prioritizing learning over grades.
Conclusions:
- Changes in the clinical context of pediatric education can positively influence feedback perceptions and behaviors.
- Institutional and national factors, such as pediatric milestones, appear to drive improvements in feedback practices.
- The findings suggest that evolving educational environments can foster more effective feedback mechanisms.
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