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Getting good help: a guide for reflection, debriefing and feedback conversations about in-consultation supervision.
Nancy Sturman1, Liz Fitzmaurice2, Gerard Ingham3
1Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Australia.
Supervisor feedback is crucial for patient safety and trainee development in general practice. A new guide aims to improve in-consultation supervision through structured debriefing and feedback, enhancing trainee and supervisor skills.
Area of Science:
- Medical Education
- General Practice Training
- Supervisory Learning
Background:
- Effective supervisor input is vital for patient safety and trainee development in general practice.
- In-consultation supervision presents challenges due to complex trainee, supervisor, and patient agendas.
- Barriers to in-consultation assistance can reduce trainee help-seeking behaviors.
Purpose of the Study:
- To improve trainee and supervisor skills in safe, effective, and efficient in-consultation supervision.
- To enhance trainee learning and professional identity formation through supervisory interactions.
- To address challenges in providing and receiving feedback during general practice training.
Main Methods:
- Development of a Debriefing, Reflection and Feedback Guide.
- Evidence-based design informed by challenges in supervisory encounters.
- Pilot testing of the guide in Australian general practice training settings.
Main Results:
- The guide is designed to prompt reflection and structure effective debriefing and feedback conversations.
- Preliminary findings from a pilot study in Australian general practice training are presented.
- The guide aims to improve reciprocal feedback and supervisory alignment.
Conclusions:
- Improving in-consultation supervision is essential for general practice trainees.
- Structured approaches like the Debriefing, Reflection and Feedback Guide can enhance supervisory skills.
- Further research and implementation are needed to optimize supervisory learning in general practice.
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