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Resident Perspective on Feedback and Barriers for Use as an Educational Tool
Stephen Albano1, Syed A Quadri2, Mudassir Farooqui3
1Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.
Cureus
|July 18, 2019
Summary
Physician residents often find feedback stressful and concerning, hindering its educational value. Improving feedback requires addressing constructive communication and strengthening evaluator-resident relationships.
Area of Science:
- Medical Education
- Graduate Medical Education
- Physician Training
Background:
- Feedback in graduate medical education lacks a clear definition, encompassing various interactions from casual conversations to formal evaluations.
- Ambiguity in defining feedback can limit its effectiveness as an educational tool for enhancing physician practices and patient care.
- Residents' perception of feedback, including recognition and response, is crucial for its successful implementation.
Purpose of the Study:
- To identify barriers to effective feedback in physician graduate medical education.
- To assess resident attitudes toward feedback processes using a questionnaire.
- To understand how residents perceive different aspects of feedback delivery and reception.
Main Methods:
- A voluntary, anonymous questionnaire with ten questions was administered to residents across five specialties at a single institution.
- The study included residents from emergency medicine, family medicine, internal medicine, neurology, and neurosurgery.
- Questions were designed to gauge resident feelings regarding various feedback scenarios.
Main Results:
- A 48% response rate (40 out of 84 residents) was achieved.
- A significant percentage of residents (22.5%) found feedback stressful, and 67.5% felt concerned when anticipating feedback.
- While 95% of residents reported attempting to change behavior based on feedback, 40% admitted to censoring negative comments, and only 10% viewed receiving feedback positively.
Conclusions:
- Key barriers to feedback include the difficulty in constructively addressing sensitive topics and the lack of strong relationships between evaluators and resident physicians.
- Addressing these barriers through targeted research could significantly improve the utilization of feedback as an educational instrument.
- Enhancing the feedback process is vital for advancing physician competency and improving patient outcomes.
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