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Feedback that Lands: Exploring How Residents Receive and Judge Feedback During Entrustable Professional Activities
Natasha Sheikh1, Joshua Mehta2, Rupal Shah3,4
1Oakville Trafalgar Memorial Hospital, Oakville, Ontario, Canada.
Perspectives on Medical Education
|October 23, 2023
Summary
Resident feedback quality in entrustable professional activity (EPA) assessments is key. Residents value feedback based on assessor credibility and actionable comments, not just the assessor type.
Area of Science:
- Medical Education
- Assessment and Evaluation
- Professional Development
Background:
- Assessor type may influence trainee perceptions of feedback quantity and quality during entrustable professional activity (EPA) assessments.
- Understanding resident judgments of feedback value is crucial for improving assessment practices.
Purpose of the Study:
- To evaluate the quality of EPA feedback from different assessors (senior residents, chief residents, staff).
- To explore residents' judgments regarding the value of EPA feedback.
Main Methods:
- Analysis of 2228 EPAs to determine assessor contribution frequency.
- Quality appraisal of 60 procedure-related EPAs using a modified CCERR tool.
- Semi-structured interviews with 15 internal medicine residents regarding feedback quality and assessor helpfulness.
Main Results:
- Residents completed over 60% of EPA assessments.
- No significant difference in feedback quality scores (modified-CCERR) across assessor groups.
- Residents' value judgments of feedback depended on perceived assessor credibility, experience, actionable comments, and self-assessment.
Conclusions:
- Resident contributions are predominant in procedure-related EPA assessments.
- Factors influencing feedback value include assessor adherence to and shared experience within EPA systems.
- Enhancing assessor credibility and system adherence is vital for effective EPA assessments.
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