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本科医学教育中的多源反馈:一项试点研究。

Multi-source feedback in undergraduate medical education: a pilot study.

作者信息

Bartman Ilona, St-Onge Christina, Roy Marguerite, Gingerich Andrea, Katsoulas Eleni, Chahine Saad, Gagnon Nathalie

机构信息

Research Program Manager, Medical Council of Canada, Ontario, Canada.

Department of Medicine, Université de Sherbrooke, Québec, Canada.

出版信息

Can Med Educ J. 2025 May 1;16(2):25-31. doi: 10.36834/cmej.79283. eCollection 2025 May.

Abstract

BACKGROUND

Multisource feedback (MSF) and 360-degree assessment collate feedback from multiple perspectives for a particular person. Since MSF aligns with programmatic assessment, undergraduate programs could theoretically incorporate this practice. This paper details the creation of an undergraduate medical education (UGME) MSF and its initial pilot.

METHODS

The Medical Council of Canada (MCC) collaborated with researchers from four Canadian UGME programs to adapt an existing tool, MCC 360. They adjusted MSF components for clerkship and piloted the revised version at one Canadian medical school. Student participants completed a post-evaluation survey. Researchers chose the Norcini et al. framework to inform the tool adaptation and evaluation.

RESULTS

The new MCC 360 UGME incorporated MSF from three rater groups (patients, self, and a mixed group of supervisors, residents, hospital staff and/or peers) and compiled it into an individualized report. An independent facilitator reviewed and discussed the report with the student. Students indicated that the MCC 360 UGME had a major to moderate impact on their learning. They appreciated receiving patient feedback and working with facilitators to identify areas of improvement. Although students found completing the MSF requirements to be burdensome, they found it to be acceptable to provide educational benefits.

CONCLUSION

Implementing MSF in Canadian UGME would allow clerkship students to access feedback from patients and others in the workplace. It would also socialize students to MSF early in their careers.

摘要

背景

多源反馈(MSF)和360度评估从多个角度收集针对特定个人的反馈。由于MSF与程序化评估相一致,本科课程理论上可以采用这种做法。本文详细介绍了本科医学教育(UGME)多源反馈的创建及其初步试点情况。

方法

加拿大医学委员会(MCC)与来自四个加拿大本科医学教育项目的研究人员合作,对现有的工具MCC 360进行改编。他们针对临床实习调整了多源反馈的组成部分,并在一所加拿大医学院对修订版进行了试点。参与的学生完成了一项评估后调查。研究人员选择了诺尔西尼等人的框架来指导工具的改编和评估。

结果

新的MCC 360本科医学教育多源反馈纳入了来自三个评分者群体(患者、自我以及由督导、住院医师、医院工作人员和/或同行组成的混合群体)的反馈,并将其汇编成一份个性化报告。一名独立的协调员对报告进行了审核,并与学生进行了讨论。学生们表示,MCC 360本科医学教育多源反馈对他们的学习有重大到中等程度的影响。他们很感激收到患者的反馈,并与协调员合作确定需要改进的领域。尽管学生们发现完成多源反馈的要求很繁重,但他们认为这对于提供教育益处来说是可以接受的。

结论

在加拿大本科医学教育中实施多源反馈将使临床实习学生能够获得来自患者和工作场所其他人的反馈。这也将使学生在职业生涯早期就熟悉多源反馈。

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