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优化反馈接收:医学学习者技能与策略的范围综述

Optimizing feedback reception: a scoping review of skills and strategies for medical learners.

作者信息

Rowe Jennifer, Bouchard-Lamothe Diane, Haggerty Teagan, Engel Jake, Etherington Cole, Kaur Manvinder, Vincent Etienne, Ghanmi Nibras, Gujral Preet, Ly Valentina, Boet Sylvain

机构信息

MD Program, Faculty of Medicine, University of Ottawa, Ontario, Canada.

Office of Francophone affairs, Faculty of Medicine, University of Ottawa, Ontario, Canada.

出版信息

Can Med Educ J. 2025 May 1;16(2):48-62. doi: 10.36834/cmej.79722. eCollection 2025 May.

DOI:10.36834/cmej.79722
PMID:40365585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12068207/
Abstract

BACKGROUND

Feedback remains essential to a learner's professional development. Most feedback literature focuses on provision of feedback, and there is a lack of evidence-based data to support learners in developing skills to receive, evaluate and use feedback, independently of context. This scoping review mapped the literature regarding strategies and skills that optimize medical learners' reception to feedback.

METHODS

Investigators conducted searches in MEDLINE, Embase, ERIC, APA PsycINFO and Web of Science Core collection from inception to May 2023. Study inclusion criteria were primary evidence sources, and strategies or skills for improved feedback reception for medical learners. Data were screened and extracted by pairs of independent reviewers. Investigators summarized study characteristics, outcomes, educational methods, and interventions.

RESULTS

Of 7692 total studies, six provided strategies and skills to improve feedback reception. Delivery of education was via workshops ( = 5 studies) that proposed cognitive, reflective and experiential learning activities, all reporting learners' self-perceived improvement of feedback behaviour. Nine strategies and seven tools were identified, focusing on general approach, soliciting or evaluating feedback.

摘要

背景

反馈对于学习者的专业发展仍然至关重要。大多数反馈文献都集中在反馈的提供上,并且缺乏基于证据的数据来支持学习者独立于具体情境发展接收、评估和使用反馈的技能。本范围综述梳理了有关优化医学学习者对反馈的接受度的策略和技能的文献。

方法

研究人员在MEDLINE、Embase、ERIC、美国心理学会心理学文摘数据库(APA PsycINFO)和科学网核心合集(Web of Science Core collection)中进行了从数据库创建到2023年5月的检索。研究纳入标准为主要证据来源,以及针对医学学习者改善反馈接受度的策略或技能。数据由独立评审员对进行筛选和提取。研究人员总结了研究特征、结果、教育方法和干预措施。

结果

在总共7692项研究中,六项研究提供了改善反馈接受度的策略和技能。教育通过研讨会进行(n = 5项研究),这些研讨会提出了认知、反思和体验式学习活动,所有研究均报告了学习者自我感知的反馈行为改善情况。确定了九种策略和七种工具,重点关注总体方法、征求或评估反馈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6c5/12068207/09cc20a7f423/CMEJ-16-048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6c5/12068207/09cc20a7f423/CMEJ-16-048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6c5/12068207/09cc20a7f423/CMEJ-16-048-g001.jpg

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本文引用的文献

1
How to ask for and act on feedback: practical tips for medical students.如何寻求反馈并据此采取行动:医学生的实用小贴士。
MedEdPublish (2016). 2018 Mar 13;7:63. doi: 10.15694/mep.2018.0000063.1. eCollection 2018.
2
[Empowering yourself to better participate in feedback: a new cognitive-behavioural model for medical learners].增强自身能力以更好地参与反馈:一种针对医学学习者的新认知行为模型
Can Med Educ J. 2023 Jun 27;14(3):6-13. doi: 10.36834/cmej.74419. eCollection 2023 Jun.
3
The influence of psychological safety on feedback conversations in general practice training.
心理安全感对全科医学培训中反馈对话的影响。
Med Educ. 2022 Nov;56(11):1096-1104. doi: 10.1111/medu.14881. Epub 2022 Jul 28.
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How to Receive Criticism: Theory and Practice from Cognitive and Cultural Approaches.如何接受批评:认知与文化视角下的理论与实践
Med Sci Educ. 2019 Sep 17;29(4):1109-1115. doi: 10.1007/s40670-019-00808-z. eCollection 2019 Dec.
5
Feedback Focused: A Learner- and Teacher-Centered Curriculum to Improve the Feedback Exchange in the Obstetrics and Gynecology Clerkship.以反馈为重点:以学习者和教师为中心的课程,旨在改善妇产科实习中的反馈交流。
MedEdPORTAL. 2021 Mar 25;17:11127. doi: 10.15766/mep_2374-8265.11127.
6
Receiving Real-Time Clinical Feedback: A Workshop and OSTE Assessment for Medical Students.接受实时临床反馈:面向医学生的研讨会与骨科临床技能评估
Adv Med Educ Pract. 2020 Nov 12;11:861-867. doi: 10.2147/AMEP.S271623. eCollection 2020.
7
An educational intervention to increase student engagement in feedback.提高学生对反馈参与度的教育干预措施。
Med Teach. 2020 Nov;42(11):1289-1297. doi: 10.1080/0142159X.2020.1804055. Epub 2020 Aug 17.
8
Curated Collections for Educators: Five Key Papers about Receiving Feedback in Medical Education.教育工作者精选文集:关于医学教育中接受反馈的五篇关键论文。
Cureus. 2019 Sep 23;11(9):e5728. doi: 10.7759/cureus.5728.
9
Soliciting feedback on the wards: a peer-to-peer workshop.征求病房反馈:一种同伴间的研讨会。
Clin Teach. 2020 Jun;17(3):280-285. doi: 10.1111/tct.13069. Epub 2019 Aug 26.
10
Finessing Feedback: Recommendations for Effective Feedback in the Emergency Department.巧妙处理反馈:急诊科有效反馈的建议
Ann Emerg Med. 2020 Mar;75(3):445-451. doi: 10.1016/j.annemergmed.2019.05.016. Epub 2019 Jul 2.