Tham Tony Ck, Burr Bill, Boohan Mairead
Ulster Hospital, Dundonald, Belfast, UK
Joint Royal Colleges of Physicians Training Board, London, UK.
Clin Med (Lond). 2017 Jul;17(4):303-306. doi: 10.7861/clinmedicine.17-4-303.
The aim of this study was to evaluate the quality of feedback provided to specialty trainees (ST3 or higher) in medical specialties during their workplace-based assessments (WBAs). The feedback given in WBAs was examined in detail in a group of 50 ST3 or higher trainees randomly selected from those taking part in a pilot study of changes to the WBA system conducted by the Joint Royal Colleges of Physicians Training Board. They were based in Health Education Northeast (Northern Deanery) and Health Education East of England (Eastern Deanery). Thematic analysis was used to identify commonly occurring themes. Feedback was mainly positive but there were differences in quality between specialties. Problems with feedback included insufficient detail, such that it was not possible to map the progression of the trainee, insufficient action plans made and the timing of feedback not being contemporaneous (feedback not being given at the time of assessment). Recommendations included feedback should be more specific; there need to be more options in the feedback forms for the supervisor to compare the trainee's performance to what is expected and action plans need to be made.
本研究的目的是评估在以工作场所为基础的评估(WBA)期间,向医学专科的专科培训学员(ST3及以上)提供的反馈质量。从参与由皇家内科医师联合培训委员会进行的WBA系统变革试点研究的学员中,随机抽取了50名ST3及以上的学员,对他们在WBA中得到的反馈进行了详细审查。这些学员来自东北健康教育(北部教区)和英格兰东部健康教育(东部教区)。采用主题分析法来确定常见主题。反馈总体上是积极的,但不同专科之间的质量存在差异。反馈存在的问题包括细节不足,以至于无法勾勒出学员的进步情况、制定的行动计划不足以及反馈时间不及时(评估时未给出反馈)。建议包括反馈应更具体;反馈表中应为督导提供更多选项,以便将学员的表现与预期进行比较,并且需要制定行动计划。