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Developing residents' feedback literacy in emergency medicine: Lessons from design-based research.
Christy Noble1, Jessica Young2, Victoria Brazil2,3
1Academy for Medical Education, Medical School The University of Queensland Herston Queensland Australia.
AEM Education and Training
|August 2, 2023
Summary
Emergency medicine residents improve feedback literacy by adopting an agentic stance and adjusting to environmental factors. Developing feedback skills requires understanding the unique context of emergency medicine settings.
Area of Science:
- Medical Education
- Emergency Medicine
- Professional Development
Background:
- Emergency medicine residents report dissatisfaction with current feedback mechanisms.
- Enhancing feedback literacy, encompassing seeking, processing, and using performance information, is a strategy to improve feedback quality.
- Understanding the specific context of feedback engagement in emergency departments is crucial for program development.
Purpose of the Study:
- To investigate how residents engage with feedback in an emergency department setting.
- To identify opportunities for improving feedback engagement within this context.
- To develop and evaluate a program aimed at enhancing residents' feedback literacy in context.
Main Methods:
- A year-long design-based research study was conducted using agentic feedback principles.
- Iterative development of a feedback literacy program occurred over five cycles in 2019.
- Data collection involved qualitative evaluation surveys (n=55), educator reflections (n=5), and resident interviews (n=21), analyzed via framework analysis.
Main Results:
- Residents adopting an agentic stance reported more frequent and helpful feedback conversations.
- Feedback engagement required dynamic adjustment based on contextual factors like workload.
- Feedback literacy development appears to be an interdependent process of individual intention and environmental adaptation.
Conclusions:
- Resident feedback literacy is highly contextualized, particularly in emergency medicine.
- Developing feedback literacy in emergency contexts is more complex than previously understood.
- Targeted education can support feedback literacy, but its development is intertwined with the everyday work environment.
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