Sultan Amber Shamim, Mateen Khan Muhammad Arif
Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2017 Jul;67(7):1078-1084.
Feedback is considered as a dynamic process in which information about the observed performance is used to promote the desirable behaviour and correct the negative ones. The importance of feedback is widely acknowledged, but still there seems to be inconsistency in the amount, type and timing of feedback received from the clinical faculty. No significant effort has been put forward from the educator end to empower the learners with the skills of receiving and using the feedback effectively. Some institutions conduct faculty development workshops and courses to facilitate the clinicians on how best to deliver constructive feedback to the learners. Despite of all these struggles learners are not fully satisfied with the quality of feedback received from their busy clinicians. The aim of this paper is to highlight what actually feedback is, type and structure of feedback, the essential components of a constructive feedback, benefits of providing feedback, barriers affecting the provision of timely feedback and different models used for providing feedback. The ultimate purpose of this paper is to provide sufficient information to the clinical directors that there is a need to establish a robust system for giving feedback to learners and to inform all the clinical educators with the skills required to provide constructive feedback to their learners. For the literature review, we had used the key words glossary as: Feedback, constructive feedback, barriers to feedback, principles of constructive feedback, Models of feedback, reflection, self-assessment and clinical practice etc. The data bases for the search include: Cardiff University library catalogue, Pub Med, Google Scholar, Web of Knowledge and Science direct.
反馈被视为一个动态过程,在这个过程中,关于观察到的表现的信息被用来促进期望的行为并纠正负面行为。反馈的重要性已得到广泛认可,但从临床教员那里收到的反馈在数量、类型和时机方面似乎仍存在不一致。教育工作者方面尚未做出重大努力来使学习者具备有效接收和使用反馈的技能。一些机构举办教员发展研讨会和课程,以帮助临床医生了解如何最好地向学习者提供建设性反馈。尽管有这些努力,学习者对从忙碌的临床医生那里收到的反馈质量仍不完全满意。本文的目的是强调反馈实际上是什么、反馈的类型和结构、建设性反馈的基本组成部分、提供反馈的好处、影响及时反馈提供的障碍以及用于提供反馈的不同模式。本文的最终目的是向临床主任提供足够的信息,表明有必要建立一个强大的系统来向学习者提供反馈,并告知所有临床教育工作者向其学习者提供建设性反馈所需的技能。为了进行文献综述,我们使用了以下关键词词汇表:反馈、建设性反馈、反馈障碍、建设性反馈原则、反馈模式、反思、自我评估和临床实践等。搜索的数据库包括:卡迪夫大学图书馆目录、PubMed、谷歌学术、知识网和科学Direct。