Feedback from health professionals in postgraduate medical education: Influence of interprofessional relationship, identity and power.

Abstract:

INTRODUCTION:Capitalising on direct workplace observations of residents by interprofessional team members might be an effective strategy to promote formative feedback in postgraduate medical education. To better understand how interprofessional feedback is conceived, delivered, received and used, we explored both feedback provider and receiver perceptions of workplace feedback. METHODS:We conducted 17 individual interviews with residents and eight focus groups with health professionals (HPs) (two nurses, two rehabilitation therapists, two pharmacists and two social workers), for a total of 61 participants. Using a constructivist grounded theory approach, data collection and analysis proceeded as an iterative process using constant comparison to identify and explore themes. RESULTS:Conceptualisations and content of feedback were dependent on whether the resident was perceived as a learner or a peer within the interprofessional relationship. Residents relied on interprofessional role understanding to determine how physician competencies align with HP roles. The perceived alignment was unique to each profession and influenced feedback credibility judgements. Residents prioritised feedback from physicians or within the Medical Expertise domain-a role that HPs felt was over-valued. Despite ideal opportunities for direct observation, operational enactment of feedback was influenced by power differentials between the professions. DISCUSSION:Our results illuminate HPs' conceptualisation of feedback for residents and the social constructs influencing how their feedback is disseminated. Professional identity and social categorisation added complexity to feedback acceptance and incorporation. To ensure that interprofessional feedback can achieve desired outcomes, education programmes should implement strategies to help mitigate intergroup bias and power imbalance.

journal_name

Med Educ

journal_title

Medical education

authors

Miles A,Ginsburg S,Sibbald M,Tavares W,Watling C,Stroud L

doi

10.1111/medu.14426

subject

Has Abstract

pub_date

2020-12-01 00:00:00

eissn

0308-0110

issn

1365-2923

pub_type

杂志文章
  • Reasoning versus knowledge retention and ascertainment throughout a problem-based learning curriculum.

    abstract:CONTEXT:Since 2000, problem-based learning (PBL) seminars have been introduced into the curriculum of medical studies at the University of Liège. We aimed to carry out a cross-sectional investigation of the maturational increase in biomedical reasoning capacity in comparison with factual knowledge retention throughout ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2009.03410.x

    authors: Collard A,Gelaes S,Vanbelle S,Bredart S,Defraigne JO,Boniver J,Bourguignon JP

    更新日期:2009-09-01 00:00:00

  • In search of educational efficiency: 30 years of Medical Education's top-cited articles.

    abstract:CONTEXT:Academic journals represent shared spaces wherein the significance of thematic areas, methodologies and paradigms are debated and shaped through collective engagement. By studying journals in their historical and cultural contexts, the academic community can gain insight into the ways in which authors and audie...

    journal_title:Medical education

    pub_type: 历史文章,杂志文章,评审

    doi:10.1111/medu.13349

    authors: Rangel JC,Cartmill C,Martimianakis MA,Kuper A,Whitehead CR

    更新日期:2017-09-01 00:00:00

  • To be and not to be: the paradox of the emerging professional stance.

    abstract:PURPOSE:Understanding how students resolve professional conflict is essential to teaching and evaluating professionalism. The purpose of this study was to refine an existing coding structure of rationalizations of student behaviour, and to further our understanding of students' reasoning strategies in the face of perce...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01326.x

    authors: Ginsburg S,Regehr G,Lingard L

    更新日期:2003-04-01 00:00:00

  • And you try and tell the medical students of today that… and they won't believe ya.

    abstract::Older clinicians typically engage in reflections on their own early careers and indeed whichever generation of clinician you talk to, their medical school and early career experiences were more challenging than the last. We draw on inspiration from Monty Python and specifically the Four Yorkshiremen to illustrate this...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.13098

    authors: Harris BH,Wilson DJ

    更新日期:2016-12-01 00:00:00

  • Community-based medical education: feasibility and cost.

    abstract::The General Medical Council has issued a call for an increase in community-based medical education, and many medical schools are enhancing the community component of their curricula. This paper uses the experience of a community-based junior medical firm to explore the potential costs, and highlight some of the unreso...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1995.tb02804.x

    authors: Murray E,Jinks V,Modell M

    更新日期:1995-01-01 00:00:00

  • Teaching medical students about family planning: experiences from a primary health care course in Lagos, Nigeria.

    abstract::In 1979, the College of Medicine, Lagos, Nigeria embarked on a new curriculum, which places more emphasis on primary health care in line with the needs of the country. This paper discusses one aspect of the primary health care course, family planning, which involves teaching a practical subject to a large number of st...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1986.tb01040.x

    authors: Olukoya AA,Oyediran MA

    更新日期:1986-01-01 00:00:00

  • Teaching and learning in the clinical setting: a qualitative study of the perceptions of students and teachers.

    abstract:OBJECTIVE:To describe the perceptions of medical students and clinical teachers of teaching and learning in the clinical setting. DESIGN:Qualitative study of focus groups with undergraduate medical students and semistructured interviews with hospital consultant clinical teachers. SETTING:The School of Medicine, Unive...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01675.x

    authors: Stark P

    更新日期:2003-11-01 00:00:00

  • Does selection pay off? A cost-benefit comparison of medical school selection and lottery systems.

    abstract:CONTEXT:Resources for medical education are becoming more constrained, whereas accountability in medical education is increasing. In this constrictive environment, medical schools need to consider and justify their selection procedures in terms of costs and benefits. To date, there have been no studies focusing on this...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.13698

    authors: Schreurs S,Cleland J,Muijtjens AMM,Oude Egbrink MGA,Cleutjens K

    更新日期:2018-12-01 00:00:00

  • 'Do as I say and not as I do'? An audit of clinical management in teaching compared with service work.

    abstract::The work of five principals in a teaching general practice was audited to examine differences in prescribing, investigation and follow-up between teaching and service work over a 3-week period. The patients seen in clinical teaching were found to be representative of those consulting in normal service sessions for bot...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1981.tb02407.x

    authors: Freeman GK

    更新日期:1981-03-01 00:00:00

  • Students' evaluation of surgical seminars in a teaching hospital.

    abstract:AIM:To evaluate the surgical seminars given for medical students at Auckland University and factors affecting them, so as to define areas for improvement. METHODS:A confidential questionnaire was completed by fourth-year medical students for each surgical seminar they attended during an academic year. The seminars wer...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2001.00953.x

    authors: Abu-Zidan FM,Windsor JA

    更新日期:2001-07-01 00:00:00

  • Script concordance testing: a review of published validity evidence.

    abstract:CONTEXT:Script concordance test (SCT) scores are intended to reflect respondents' competence in interpreting clinical data under conditions of uncertainty. The validity of inferences based on SCT scores has not been rigorously established. OBJECTIVES:This study was conducted in order to develop a structured validity a...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2923.2010.03863.x

    authors: Lubarsky S,Charlin B,Cook DA,Chalk C,van der Vleuten CP

    更新日期:2011-04-01 00:00:00

  • Computer analysis of the student log diary: an aid in the teaching of general practice and family medicine.

    abstract::At the University of Queensland all medical students in their fifth year rotate through a 2-week attachment to a general practitioner tutor as part of the course in community practice. As a means of learning from this experience each student records information in a log diary on seventy-five consecutive patients seen,...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1984.tb00976.x

    authors: Munro JG

    更新日期:1984-03-01 00:00:00

  • Scripts and clinical reasoning.

    abstract:CONTEXT:Each clinical encounter represents an amazing series of psychological events: perceiving the features of the situation; quickly accessing relevant hypotheses; checking for signs and symptoms that confirm or rule out competing hypotheses, and using related knowledge to guide appropriate investigations and treatm...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2923.2007.02924.x

    authors: Charlin B,Boshuizen HP,Custers EJ,Feltovich PJ

    更新日期:2007-12-01 00:00:00

  • Inquiry: the pedagogical importance of a skill central to clinical practice.

    abstract::The skill of inquiry is central to the task of the doctor confronted with a patient problem. Despite its importance this skill is not given appropriate emphasis in the education of medical students or in research concerning the clinical reasoning skills of doctors. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1990.tb02428.x

    authors: Barrows HS

    更新日期:1990-01-01 00:00:00

  • Current status of teaching on spirituality in UK medical schools.

    abstract:OBJECTIVE:To investigate the current status of teaching on spirituality in medicine in UK medical schools and to establish if and how medical schools are preparing future doctors to identify patients' spiritual needs. METHODS:We carried out a national questionnaire survey using a 2-part questionnaire. Section A contai...

    journal_title:Medical education

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1111/j.1365-2923.2007.02980.x

    authors: Neely D,Minford EJ

    更新日期:2008-02-01 00:00:00

  • The Educational Commission for Foreign Medical Graduates: global efforts in graduate medical education.

    abstract::In addition to its certification programme, which assesses the readiness of foreign medical graduates to enter graduate medical education programmes in the USA, the Educational Commission for Foreign Medical Graduates (ECFMG) is involved in a number of other programmes in international medical education. These include...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1995.tb02906.x

    authors: Miranda M

    更新日期:1995-01-01 00:00:00

  • Medical education accreditation in Mexico and the Philippines: impact on student outcomes.

    abstract:CONTEXT:Accreditation of medical education programmes is becoming increasingly prevalent worldwide, but beyond the face validity of these quality assurance methods, data linking accreditation to improved student outcomes are limited. Mexico and the Philippines both have voluntary systems of medical education accreditat...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2011.04212.x

    authors: van Zanten M,McKinley D,Durante Montiel I,Pijano CV

    更新日期:2012-06-01 00:00:00

  • Training primary health care workers in Upper Volta.

    abstract::In collaboration with aid agencies and government health workers, Save the Children Fund medical staff have been involved in the training of primary health care workers in the Sahel region of upper Volta. This report deals specifically with the problems involved in training illiterate health workers. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1982.tb01233.x

    authors: Cross I

    更新日期:1982-03-01 00:00:00

  • An electronic study guide for problem-based learning.

    abstract::This paper describes the development and structure of an Electronic Study Guide for Oncology (LETSGO) for undergraduate medical students. LETSGO is aimed at clinical students learning about cancer. The subject of the guide is breast cancer and learning objectives cover structure and function, behavioural science, publ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1995.tb02860.x

    authors: Mooney GA,Bligh JG,Leinster SF,Warenius HM

    更新日期:1995-11-01 00:00:00

  • Ethnography in health professions education: Slowing down and thinking deeply.

    abstract:CONTEXT:Ethnography has been gaining appreciation in the field of health professions education (HPE) research, yet it remains misunderstood. Our article contributes to this growing literature by describing some of the key tensions with which both aspiring and seasoned ethnographers should productively struggle. METHOD...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14033

    authors: Bressers G,Brydges M,Paradis E

    更新日期:2020-03-01 00:00:00

  • Flexible training opportunities in the European Union.

    abstract::This paper compares the opportunities for flexible (part-time) specialist training in the UK and elsewhere in the EU in the overall context of the rising numbers of women doctors across Europe. Few other EU countries appear to provide the same opportunities for flexible training as the UK, despite high percentages of ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.1998.00236.x

    authors: Maingay J,Goldberg I

    更新日期:1998-09-01 00:00:00

  • Defining the content for the objective structured clinical examination component of the professional and linguistic assessments board examination: development of a blueprint.

    abstract:INTRODUCTION:We describe the steps taken to develop an appropriate list of 'clinical problems' used to define the content of the objective structured clinical examination (OSCE) component of the Professional and Linguistic Assessments Board (PLAB) examination. METHOD:A blueprint and list of 255 clinical problems was c...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2000.00553.x

    authors: Tombleson P,Fox RA,Dacre JA

    更新日期:2000-07-01 00:00:00

  • Teaching and learning pathology: a critical review of the English literature.

    abstract:AIM:There are few publications summarising the main issues concerning pathology teaching and learning within undergraduate medical degrees. This article examines the themes that have emerged from the literature over the last 2 decades. METHOD:A literature search was performed using PubMed, which identified 86 relevant...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2923.2004.01775.x

    authors: Marshall R,Cartwright N,Mattick K

    更新日期:2004-03-01 00:00:00

  • Student expectations and personal perceptions as an approach to course evaluation.

    abstract::Evaluation of courses tends to emphasize individual teacher behaviour and/or student reaction to the course. To avoid this approach a technique to determine student expectations and the degree to which the expectations were or were not met by the course was used. In addition, student perceptions of laboratory teaching...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1986.tb01173.x

    authors: Rosinski EF,Hill PM

    更新日期:1986-05-01 00:00:00

  • Independent learning: a self-instructional videotape approach in psychiatry.

    abstract::In response to the increased need to train well-rounded general practitioners within a limited time schedule, the teaching staff developed a self-instructional videotape programme devoted to suicide assessment. This tape, if successful, was to serve as a pilot for a full series of 18 tapes devoted to the assessment an...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1980.tb02609.x

    authors: Golden K,Furst E,Sundermann R,Delk J,McGill S

    更新日期:1980-01-01 00:00:00

  • A healing curriculum.

    abstract:CONTEXT:The banner of patient-centredness flies over many academic institutions; however, the practice and teaching of medicine remain oriented to disease. This incongruence is the result of an original Flexnerian dichotomy between the basic and clinical sciences and is maintained by a more recent distinction between d...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2007.02905.x

    authors: Boudreau JD,Cassell EJ,Fuks A

    更新日期:2007-12-01 00:00:00

  • First step: report on a pilot course for personal and professional development.

    abstract:OBJECTIVE:To describe a pilot course in personal and professional development, entitled 'Becoming a doctor: the first step' and our suggestions for what might be incorporated into future courses. SETTING AND CONTEXT:Leeds Medical School begins a new curriculum in September 1999 with a proportion of the first 3 years b...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2000.00575.x

    authors: Thistlethwaite JE,Green PD,Heywood P,Storr E

    更新日期:2000-02-01 00:00:00

  • Supporting Pre-registration House Officers: the needs of educational supervisors of the first phase of postgraduate medical education.

    abstract::The GMC's publications The New Doctor (GMC 1997) outlines an approach for the education of Pre-registration House Officers using designated educational supervisors. In order to establish appropriate means of training consultants to undertake this role, the Centre for Postgraduate and Continuing Medical Education at th...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.1998.00209.x

    authors: Challis M,Williams J,Batstone G

    更新日期:1998-03-01 00:00:00

  • Inadequate recording of alcohol-drinking, tobacco-smoking and discharge diagnosis in medical in-patients: failure to recognize risks including drug interactions.

    abstract::The records of 62 men and 43 women, 14-88 years old, admitted to general medical wards in a public teaching hospital during 1991 were examined for discharge medications and for the recording of alcohol-drinking, tobacco-smoking and discharge diagnosis. Drinking and smoking status was unrecorded in 22.9% and 21.9% of p...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1993.tb00313.x

    authors: Bairstow BM,Burke V,Beilin LJ,Deutscher C

    更新日期:1993-11-01 00:00:00

  • Can general internal medicine be taught in general practice? An evaluation of the University College London model.

    abstract::There is national and international interest in increasing the community-based component of undergraduate medical education, but more research is needed on its potential, practicability and effectiveness. The objective of the study was to examine the feasibility and efficacy of general practitioners teaching basic cli...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.1997.00678.x

    authors: Murray E,Todd C,Modell M

    更新日期:1997-09-01 00:00:00