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一种具有定期强化的结构化同伴评估方法促进医学生反馈技能的纵向自我感知发展。

A Structured Peer Assessment Method with Regular Reinforcement Promotes Longitudinal Self-Perceived Development of Medical Students' Feedback Skills.

作者信息

Tzeng Alice, Bruno Bethany, Cooperrider Jessica, Dinardo Perry B, Baird Rachael, Swetlik Carol, Goldstein Brittany N, Rastogi Radhika, Roth Alicia J, Gilligan Timothy D, Rish Julie M

机构信息

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH USA.

Women's Health Institute, Cleveland Clinic, Cleveland, OH USA.

出版信息

Med Sci Educ. 2021 Mar 11;31(2):655-663. doi: 10.1007/s40670-021-01242-w. eCollection 2021 Apr.

Abstract

BACKGROUND

Given that training is integral to providing constructive peer feedback, we examined the impact of a regularly reinforced, structured peer assessment method on student-reported feedback abilities throughout a two-year preclinical Communication Skills course.

METHODS

Three consecutive 32-student medical school classes were introduced to the Observation-Reaction-Feedback method for providing verbal assessment during Year 1 Communication Skills orientation. In biweekly small-group sessions, students received worksheets reiterating the method and practiced giving verbal feedback to peers. Periodic questionnaires evaluated student perceptions of feedback delivery and the Observation-Reaction-Feedback method.

RESULTS

Biweekly reinforcement of the Observation-Reaction-Feedback method encouraged its uptake, which correlated with reports of more constructive, specific feedback. Compared to non-users, students who used the method noted greater improvement in comfort with assessing peers in Year 1 and continued growth of feedback abilities in Year 2. Comfort with providing modifying feedback and verbal feedback increased over the two-year course, while comfort with providing reinforcing feedback and written feedback remained similarly high. Concurrently, student preference for feedback anonymity decreased.

CONCLUSIONS

Regular reinforcement of a peer assessment framework can increase student usage of the method, which promotes the expansion of self-reported peer feedback skills over time. These findings support investigation of analogous strategies in other medical education settings.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40670-021-01242-w.

摘要

背景

鉴于培训对于提供建设性的同伴反馈至关重要,我们研究了一种定期强化的结构化同伴评估方法在为期两年的临床前沟通技能课程中对学生报告的反馈能力的影响。

方法

在第一年沟通技能培训期间,连续三个32名学生的医学院班级被引入观察-反应-反馈方法以进行口头评估。在每两周一次的小组会议中,学生们会收到重申该方法的工作表,并练习向同伴提供口头反馈。定期问卷调查评估了学生对反馈传递和观察-反应-反馈方法的看法。

结果

每两周对观察-反应-反馈方法的强化促进了其采用,这与更具建设性、更具体的反馈报告相关。与未使用者相比,使用该方法的学生在第一年评估同伴时的舒适度有更大提高,并且在第二年反馈能力持续增长。在为期两年的课程中,提供修正性反馈和口头反馈的舒适度有所提高,而提供强化性反馈和书面反馈的舒适度保持同样高的水平。同时,学生对反馈匿名性的偏好降低。

结论

定期强化同伴评估框架可以增加学生对该方法的使用,这随着时间的推移促进了自我报告的同伴反馈技能的扩展。这些发现支持在其他医学教育环境中对类似策略进行研究。

补充信息

在线版本包含可在10.1007/s40670-021-01242-w上获取的补充材料。

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本文引用的文献

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Twelve tips for implementing a successful peer assessment.实施成功的同伴评估的 12 个技巧。
Med Teach. 2011;33(6):443-6. doi: 10.3109/0142159X.2010.546909. Epub 2011 Feb 28.

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