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Pocket card and dedicated feedback session to improve feedback to ward residents: A randomized trial
Author(s) -
Peccoralo Lauren,
Karani Reena,
Coplit Lisa,
Korenstein Deborah
Publication year - 2012
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.934
Subject(s) - session (web analytics) , accreditation , medicine , randomized controlled trial , intervention (counseling) , graduate medical education , medical education , physical therapy , nursing , computer science , surgery , world wide web
BACKGROUND: Residents are often dissatisfied with feedback received on the wards, and hospital attendings are often uncomfortable and unskilled at giving feedback. OBJECTIVE: Determine the impact of a pocket card and feedback session on Internal Medicine (IM) residents' perceptions of feedback and attendings' comfort giving feedback. DESIGN: Prospective randomized trial using chi‐square analysis. SETTING: Inpatient wards at 1 academic medical center. PARTICIPANTS: One hundred eleven IM residents and 36 attendings. INTERVENTION: We introduced a pocket feedback card, structured around the Accreditation Council for Graduate Medical Education competencies, and a feedback session to guide mid‐rotation feedback. Control group attendings received the usual reminder to provide feedback. MEASUREMENTS: Attendings' and residents' survey responses, after the inpatient month, assessing attitudes towards feedback and qualitative interviews with intervention attendings. RESULTS: Intervention residents were more likely than controls to report sufficient and useful feedback from attendings. They reported more feedback regarding skills needing improvement and how to improve their skills (51.3% vs 25.5%, P = 0.02), and felt their clinical (61.5% vs 27.8%, P = 0.001) and professionalism/communication (51.3% vs 29.1%, P = 0.03) skills improved based on this feedback. Intervention attendings, as compared to controls, agreed that residents improved their professionalism/communication skills (76.9% vs 31.1%, P = 0.02) based on feedback. Most intervention attendings found the card and session acceptable and would use both in the future. CONCLUSIONS: A pocket feedback card and dedicated feedback session improved the quantity and quality of feedback delivered to IM residents by their attendings on the inpatient wards. Journal of Hospital Medicine 2011;. © 2011 Society of Hospital Medicine