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Feedback Can Be Less Stressful: Medical Trainee Perceptions of Using the Prepare to ADAPT (Ask-Discuss-Ask-Plan

Tyra Fainstad1, Adelaide A McClintock1, Monica J Van der Ridder2

  • 1Internal Medicine, University of Washington, Seattle, USA.

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|March 26, 2019
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Summary

The Prepare to ADAPT framework improves medical education feedback by reducing learner anxiety and stress. This structured approach enhances efficiency, fosters coaching relationships, and increases feedback usefulness.

Keywords:
coachingeducational alliancefeedbackqualitative

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Area of Science:

  • Medical Education
  • Healthcare Professional Development

Background:

  • Effective feedback is crucial for medical training but often problematic.
  • Learner, relationships, and culture significantly impact feedback effectiveness.

Purpose of the Study:

  • To develop and investigate learner perceptions of the Prepare to ADAPT feedback framework.
  • To improve medical education feedback processes using self-regulated learning theory.

Main Methods:

  • Qualitative thematic analysis of structured interviews.
  • Exploratory study involving nine trainees trained on the Prepare to ADAPT framework.

Main Results:

  • The Prepare to ADAPT framework potentially decreases learner anxiety and stress.
  • Key themes included increased efficiency, improved coaching relationships, facilitated reflection, increased feedback frequency, and enhanced feedback usefulness.

Conclusions:

  • The Prepare to ADAPT framework may reduce feedback-related stress and anxiety.
  • The framework is easy to use and increases effective feedback conversations in medical education.