Nesbitt Alexander, Pitcher Andrew, James Lydnon, Sturrock Alison, Griffin Ann
University College London Medical School, London, UK.
Clin Teach. 2014 Jul;11(4):279-83. doi: 10.1111/tct.12145.
Medical students value constructive feedback, as it helps them to improve their performance. Supervised learning events (SLEs) were developed as performance assessments and to create opportunities for students to receive feedback. Although many would argue the strengths of SLEs, there is a lack of literature assessing the quality of written feedback for medical students.
A random sample of Year 4 students at a London medical school provided a total of 250 SLE forms for analysis. A coding framework was developed and applied to the sample to grade the quality of the feedback.
Overall, 63.1 per cent of feedback entries were graded weak. More of the 'areas for improvement' comments were graded weak (73.6%) compared with the 'points of good performance' (52.8%). Of the feedback graded weak, many were left blank (40.6%), were non-specific (34.1%), only used words such as 'keep practising' (19.5%), were irrelevant (4.6%) or were illegible (1.2%).
The quality of written feedback is clearly an area for development. Factors that impede this include a lack of time and the fact that some assessors may be uncomfortable providing negative feedback. In order to improve, it is important that both students and assessors are trained more thoroughly in giving effective written feedback. The quality of written feedback is clearly an area for development.
医学生重视建设性反馈,因为这有助于他们提高表现。监督学习活动(SLEs)被开发出来作为表现评估,并为学生创造获得反馈的机会。尽管许多人会认同SLEs的优点,但缺乏评估医学生书面反馈质量的文献。
从伦敦一所医学院的四年级学生中随机抽取样本,共提供250份SLE表格用于分析。制定了一个编码框架并应用于样本,以对反馈质量进行评分。
总体而言,63.1%的反馈条目被评为较差。与“良好表现点”(52.8%)相比,更多的“改进领域”评论被评为较差(73.6%)。在被评为较差的反馈中,许多是空白的(40.6%)、不具体的(34.1%)、仅使用“继续练习”等词语的(19.5%)、不相关的(……此处原文有误,应为4.6%)或难以辨认的(1.2%)。
书面反馈的质量显然是一个有待改进的领域。阻碍这一点的因素包括时间不足以及一些评估者可能不愿意提供负面反馈。为了改进,重要的是学生和评估者都要接受更全面的有效书面反馈培训。书面反馈的质量显然是一个有待改进的领域。