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Formalizing Feedback: Introducing a Structured Approach in an Outpatient Resident Clinic

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Objective Delivering feedback is an integral part of graduate medical education. This paper will present how feedback research informed the development of a new feedback model and discuss its implementation… Click to show full abstract

Objective Delivering feedback is an integral part of graduate medical education. This paper will present how feedback research informed the development of a new feedback model and discuss its implementation and evaluation by residents in an outpatient psychiatry clinic. Method After reviewing research, a new feedback model of self-determined goal setting with guided objectives and quarterly formal in-person feedback sessions was implemented with 10 psychiatry residents during their 12-month outpatient experience in postgraduate year (PGY)–3. Residents received a pre-intervention survey to assess existing opinions of feedback and goal setting and a post-intervention survey to evaluate experiences with the new feedback model. Results On the pre-intervention survey, 3 of 8 resident respondents indicated they had previously set goals, and only 4 of 8 predicted goal setting would be helpful, with average helpfulness rating of 3.62 (scale of 1 to 5). Cumulatively, 10 PGY-3 residents set 31 goals over the academic year. On the post-intervention survey, resident respondents rated the helpfulness of goal setting at 4.71 and quarterly, formal, in-person feedback meetings at 4.86. Success at reaching their self-determined goals was rated at 5 by all respondents. Conclusions Utilizing self-determined goals and formal in-person feedback sessions seemed to provide the framework for an effective feedback model in an outpatient resident clinic. This pilot project suggests that introducing formal feedback models can have a positive impact on resident clinical and educational growth. The data support expanding the model to assess its generalizability with the goal of furthering development of evidence-based feedback models.

Keywords: intervention survey; goal setting; feedback model; feedback; model

Journal Title: Academic Psychiatry
Year Published: 2020

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