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Differences in faculty feedback for high, expected, and below-expected clinically performing emergency medicine
Ryan F Coughlin1, Alina Tsyrulnik1, Michael Gottlieb2
1Department of Emergency Medicine Yale University School of Medicine New Haven Connecticut USA.
AEM Education and Training
|October 3, 2022
Summary
Feedback quality for emergency medicine residents varied by performance level. High and below-expected performers received better feedback than expected performers, highlighting a need for consistent, quality feedback for all trainees.
Area of Science:
- Medical Education
- Emergency Medicine
- Healthcare Quality Improvement
Background:
- Deliberate practice is crucial for medical training.
- The quality of feedback provided to residents may differ based on their performance level.
- Understanding feedback variations is key to optimizing resident development.
Purpose of the Study:
- To assess differences in feedback quality among high, expected, and below-expected performing emergency medicine residents.
- To determine if attending faculty provide varied feedback based on resident performance.
- To identify specific components of feedback that differ across performance tiers.
Main Methods:
- Retrospective review of 1284 emergency medicine resident evaluations (Nov 2018-Mar 2021).
- Feedback coded using a modified SMART criteria scale (Specific, Measurable, Achievable, Relevant, Time-bound).
- Logistic regression with Generalized Estimating Equations (GEE) analyzed differences in feedback scores by performance level.
Main Results:
- Mean modified SMART feedback scores were higher for high and below-expected performers compared to expected performers.
- High performers received significantly more 'Achievable' and 'Relevant' feedback.
- Only 278 of 1284 evaluations met the 'Specific' feedback criterion.
Conclusions:
- Feedback quality significantly differs across resident performance levels in emergency medicine.
- High and below-expected performers received more comprehensive feedback than expected performers.
- Academic faculty must ensure high-quality feedback delivery for all residents, regardless of performance level.
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