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Using a Delphi Technique to Define a Feedback Culture in Graduate Medical Education
Cristen P Page1, Hannah M Baker2, Linda Myerholtz1
1Department of Family Medicine, University of North Carolina, Chapel Hill.
Family Medicine
|June 2, 2021
Summary
Experts identified key elements for a strong feedback culture in medical education. This research defines essential components to foster learning and growth for both learners and educators.
Area of Science:
- Medical Education
- Healthcare Professional Development
Background:
- A robust feedback culture is hypothesized to enhance learning in graduate medical education.
- However, a clear definition of such a culture is lacking in current literature.
Purpose of the Study:
- To identify and define the essential elements of a feedback culture in graduate medical education.
- To establish a consensus among experts on what constitutes a highly functioning feedback culture.
Main Methods:
- A modified Delphi technique was employed with a panel of medical education experts over two rounds.
- Experts rated 29 descriptors of a feedback culture, with revisions based on panel comments and a minimum 80% agreement threshold.
Main Results:
- Response rates were 68% in round one and 88% in round two.
- Seventeen elements were identified and endorsed by the expert panel as essential to a feedback culture.
Conclusions:
- The study successfully established a consensus among experts on essential elements for a feedback culture.
- These endorsed elements provide a framework for assessing feedback culture in graduate medical education programs.
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