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本科医学教育中有效反馈的障碍:来自沙特阿拉伯的案例研究。

Barriers to effective feedback in undergraduate medical education: Case study from Saudi Arabia.

作者信息

Alrebish Saleh Ali

机构信息

Department of Medical Education, College of Medicine, Qassim University, Saudi Arabia.

出版信息

Int J Health Sci (Qassim). 2018 Mar-Apr;12(2):31-36.

PMID:29599692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5870324/
Abstract

OBJECTIVES

Students' feedback is an essential source of data for evaluation and improvement of the quality of education. Nonetheless, feedback may be routinely practised for accreditation purposes, and it is considered as a ritual employed by students, which makes its effectiveness questionable. The aim of this study is to explore and analyze the students' perceptions about the importance of feedback and the barriers for effective feedback and suggest proper ways to overcome these barriers.

METHODS

This cross-sectional, anonymous, questionnaire-based study was conducted in the College of Medicine, Qassim University. A total of 299 medical students, composed of 185 male and 114 female, from different levels during December 2015 participated. Mean value, standard deviation, and proportion were used to quantify the quantitative and categorical study and outcome variables.

RESULTS

47% of students responded to the questionnaire with more participation of juniors and females. Half of the students believed that feedback is not important and agreed for the presence of barriers for effective feedback. 5 level students exhibited higher resistance for participation in feedback, and there was a significant difference between male and female students. Promisingly, most of the participant did not believe the presence cultural barrier for feedback.

CONCLUSION

Saudi medical students are willing to involve in effective feedback. Some barriers that make feedback practised as tokenistic is present. They can be overcome through proper orientation and appropriate closing the loop with response to the feedback declared to students. Further investigation is needed to explore barriers to feedback in higher education settings and help designing an approach to enhance the effectiveness of feedback on a national level.

摘要

目的

学生反馈是评估和提高教育质量的重要数据来源。然而,反馈可能只是为了认证目的而例行进行,被认为是学生走过场的一种仪式,这使得其有效性受到质疑。本研究的目的是探索和分析学生对反馈重要性的看法以及有效反馈的障碍,并提出克服这些障碍的适当方法。

方法

这项横断面、匿名、基于问卷的研究在卡西姆大学医学院进行。2015年12月,共有299名医学生参与,其中包括185名男生和114名女生,来自不同年级。均值、标准差和比例用于量化定量和分类研究及结果变量。

结果

47%的学生回复了问卷,其中低年级学生和女生参与度更高。一半的学生认为反馈不重要,并认同存在有效反馈的障碍。五年级学生对参与反馈表现出更高的抵触情绪,男女生之间存在显著差异。令人欣慰的是,大多数参与者认为不存在反馈的文化障碍。

结论

沙特医学生愿意参与有效的反馈。存在一些使反馈流于形式的障碍。可以通过适当的指导以及对学生所宣称的反馈做出回应来适当闭环,从而克服这些障碍。需要进一步调查以探索高等教育环境中反馈的障碍,并帮助设计一种在国家层面提高反馈有效性的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/5870324/6357a855c61f/IJHS-12-31-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/5870324/d48e5baccf6d/IJHS-12-31-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/5870324/4ecd018beef0/IJHS-12-31-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/5870324/6357a855c61f/IJHS-12-31-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/5870324/d48e5baccf6d/IJHS-12-31-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/5870324/4ecd018beef0/IJHS-12-31-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f3/5870324/6357a855c61f/IJHS-12-31-g006.jpg

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本文引用的文献

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Barriers to feedback in undergraduate medical education. Male students' perspective in Central Saudi Arabia.本科医学教育中反馈的障碍。沙特阿拉伯中部地区男学生的观点。
Saudi Med J. 2012 May;33(5):557-61.
2
Giving feedback - an integral part of education.反馈——教育不可或缺的一部分。
Best Pract Res Clin Anaesthesiol. 2012 Mar;26(1):77-87. doi: 10.1016/j.bpa.2012.02.003.
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Giving feedback.提出反馈意见。
J Palliat Med. 2011 Feb;14(2):233-9. doi: 10.1089/jpm.2010.0093.
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Identifying the factors that determine feedback given to undergraduate medical students following formative mini-CEX assessments.确定在形成性迷你临床评估后给予本科医学生反馈的决定因素。
Med Educ. 2008 Jan;42(1):89-95. doi: 10.1111/j.1365-2923.2007.02939.x. Epub 2007 Nov 22.
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Undergraduate medical students: who seeks formative feedback?本科医学生:谁寻求形成性反馈?
Med Educ. 2007 Jun;41(6):580-2. doi: 10.1111/j.1365-2923.2007.02768.x.
6
Facilitating and obstructing factors for development of learning in clinical practice: a student perspective.临床实践中学习发展的促进因素与阻碍因素:学生视角
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