University of California, San Francisco, San Francisco, CA, USA.
University Medical Center Utrecht, Utrecht, the Netherlands.
Med Teach. 2023 May;45(5):492-498. doi: 10.1080/0142159X.2022.2138741. Epub 2022 Oct 28.
BACKGROUND/PURPOSE: Feedback processes in health professions education (HPE) are not always successful. While recommendations to improve feedback provision dominate the literature, studying specific learner attributes that impact feedback uptake may also improve feedback processes. Feedback orientation is a concept from management science involving four dimensions of learner attributes and attitudes that impact their feedback uptake: utility, accountability, social awareness, and feedback self-efficacy. Feedback orientation may represent a valuable concept in HPE. We aimed to understand medical learners' feedback orientation at different stages in their development.
We used the Feedback Orientation Scale, a 20-item survey instrument, for a cross-sectional analysis of feedback orientation in medical students and Internal Medicine residents at one large academic center. We performed descriptive statistics and analysis of variance for data analysis.
We found the same factors (dimensions) to feedback orientation in our population as in management science. Overall feedback orientation scores were high and were largely consistent across trainee levels. Utility was the domain that was highest across learners, whereas feedback self-efficacy was lowest.
Feedback orientation represents a useful concept to explore medical learners' attitudes toward feedback's role in their development. The four domains can help guide further nuanced feedback research and application.[Box: see text].
背景/目的：医疗专业学术文献（HPE）中的反馈过程并不总是成功的。虽然改善反馈提供的建议在文献中占主导地位，但研究影响反馈接受度的特定学习者属性也可能改善反馈过程。反馈取向是管理科学中的一个概念，涉及影响学习者反馈接受度的四个维度的学习者属性和态度：效用、问责制、社会意识和反馈自我效能感。反馈取向在 HPE 中可能是一个有价值的概念。我们旨在了解不同发展阶段的医学生的反馈取向。
我们使用反馈取向量表，这是一种 20 项的调查工具，对一个大型学术中心的医学生和内科住院医师的反馈取向进行了横断面分析。我们进行了描述性统计和方差分析。
我们在人群中发现了与管理科学相同的反馈取向因素（维度）。整体反馈取向得分较高，且在不同培训水平之间基本一致。在学习者中，效用是最高的领域，而反馈自我效能感则最低。
反馈取向是探索医学生对反馈在其发展中作用的态度的一个有用概念。这四个领域可以帮助指导进一步精细化的反馈研究和应用。[方框：见文本]。
