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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Opportunities to Increase Workplace Feedback: A Multi-institutional Examination.

Kayla M Marcotte1, Amy L Holmstrom2, Angela E Thelen3

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Faculty engagement is key to providing resident feedback. Attending surgeons, not trainee performance or case complexity, most influence whether feedback is given, highlighting a need to standardize feedback practices.

Keywords:
Faculty engagementFormative feedbackPatient CareWorkplace-based assessments

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Area of Science:

  • Medical Education
  • Surgical Training
  • Workplace-based Assessment

Background:

  • Formative feedback is crucial for resident education but large-scale data on its provision are limited.
  • Workplace-based assessment systems can identify factors influencing feedback delivery.
  • Understanding these factors can improve feedback quantity and quality in residency programs.

Purpose of the Study:

  • To examine factors influencing the provision of dictated formative feedback in surgical residency.
  • To identify the association between faculty, procedure, case characteristics, and trainee performance with feedback provision.

Main Methods:

  • Utilized data from the Society for Improving Medical Professional Learning (SIMPL) mobile application.
  • Analyzed 67,434 evaluations from 70 general surgery programs (2015-2021).
  • Employed generalized linear mixed effects models to assess influencing factors.

Main Results:

  • Faculty-specific factors accounted for approximately 61% of the variation in feedback provision.
  • Higher trainee autonomy and performance ratings were associated with a lower likelihood of receiving feedback.
  • More complex cases showed a modest increase in the likelihood of feedback.

Conclusions:

  • Attending surgeon-specific factors are the primary drivers of dictated feedback.
  • Trainee performance, autonomy, and case complexity have minor associations with feedback decisions.
  • Interventions to increase feedback should focus on reducing variability among attending surgeons.