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Updated: Sep 19, 2025

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An Exploration of Feedback Using Hattie and Timperley's Feedback Levels.

Kelsey Compagna1, Shelley Ross1, Ann Lee1

  • 1Department of Family Medicine, University of Alberta, Edmonton, AB, Canada.

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Summary

This study examined workplace feedback in family medicine residencies using Hattie and Timperley's Model of Feedback to Enhance Learning (MFEL). Most feedback focused on task and process levels, suggesting areas for improving clinical training effectiveness.

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Area of Science:

  • Medical Education
  • Clinical Training
  • Feedback Models

Background:

  • Effective feedback is crucial for clinical training.
  • Hattie and Timperley's Model of Feedback to Enhance Learning (MFEL) categorizes feedback into task, process, self-regulation, and self levels.
  • Few medical education studies have applied the MFEL.

Purpose of the Study:

  • To utilize the MFEL to analyze the content of documented workplace-based feedback.
  • To explore the applicability of the MFEL within a family medicine residency program.

Main Methods:

  • Retrospective, cross-sectional, observational study using learning analytics.
  • Analysis of de-identified field notes documenting workplace-based feedback from a Canadian family medicine residency program.
  • Coding feedback using the MFEL levels and descriptive statistical analysis of frequencies and combinations.

Main Results:

  • Of 2,250 field notes, 18% lacked feedback.
  • The majority of feedback (60%) contained a single level, with task (76%) being most common.
  • The most frequent feedback combination was process and task (92.1%).

Conclusions:

  • Hattie and Timperley's MFEL provides a framework for analyzing documented feedback in medical education.
  • The MFEL can help identify faculty development needs to enhance feedback effectiveness in residency programs.