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Assessing the Quality of Narrative Feedback in Entrustable Professional Activities Using the EFeCT Feedback Scoring
Rebecca Lee1, Neil Dhami1, William Gibson1
1Department of Medicine, University of Alberta Hospital, Edmonton, Alberta, Canada.
Narrative feedback in Canadian medical education’s competency-based medical education (CBME) is mostly moderate to high quality. However, variability exists, impacting learner development and highlighting the need for faculty development and workload support.
Area of Science:
- Medical Education
- Competency-Based Medical Education (CBME)
Background:
- Competency-based medical education (CBME) is central to Canadian undergraduate medical training.
- Entrustable Professional Activities (EPAs) assess professional task competency, with narrative feedback being crucial.
- Limited research exists on the quality of narrative feedback within EPA observations in undergraduate medical education.
Purpose of the Study:
- To explore the quality of narrative feedback provided to medical students during EPA observations.
- To identify areas for improvement in feedback delivery within the CBME framework.
Main Methods:
- A random sample of 748 anonymised Year 3 EPA observations was evaluated.
- The Evaluation of Feedback Captured Tool (EFeCT), assessing five quality facets, was used.
- Three independent evaluators assessed feedback quality, reaching consensus on scores.
Main Results:
- The mean EFeCT score for narrative feedback quality was 4.3 out of 5.
- 441 out of 748 observations (59%) received the highest quality score (5).
- Significant variability in feedback quality was observed across observations.
Conclusions:
- The majority of EPA narrative feedback is of moderate to high quality.
- Inconsistencies in feedback quality may hinder learner development.
- Strategies like addressing clinical workload and enhancing faculty development are recommended to improve feedback quality.
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