Presentation on theme: "Feedback Versus Feeding A Randomized Controlled Trial ML Boehler, DA Rogers, CJ Schwind R Mayforth, J Quin, R Williams, G Dunnington Southern Illinois."— Presentation transcript:
Feedback Versus Feeding A Randomized Controlled Trial ML Boehler, DA Rogers, CJ Schwind R Mayforth, J Quin, R Williams, G Dunnington Southern Illinois University Surgery Education & Performance Group
Introduction Feedback is important in improving performance Medical students are chronically dissatisfied with feedback
Prior Interventions “Faculty Focused” “One Minute Preceptor” (Neher et al, 1992) “Residents as Teachers” (Dunnington, DaRosa, 1998)
Question? Do medical students and faculty have different expectations of feedback?
Additional Concerns Compliments may produce the more satisfied (but less capable) medical student.
Compliment - Definition Something said in admiration, praise, or flattery. (Websters)
Compliment Examples Great Job Your Making Progress Your doing great Looks Good Outstanding Fantastic Progress
Feedback - Definition The return of information about the result of a process.
Feedback - Examples “You didn’t start with your hands crossed – You are using both hands, everything is done with the left hand, now rotate the loop towards you, concentrate on using your left hand.”
Study Questions? Will medical students that receive compliments be more satisfied than students that receive feedback? Will medical students receiving feedback demonstrate improved performances as compared to those receiving just compliments?
Methods Subjects were 2 nd & 3 rd year medical students Knot Tying Skills Session Pretest Videotape
Intervention Random selection into two groups Compliments Feedback Post Intervention tape
Methods Very Poor Un- acceptable AcceptableGoodVery Good Truly Exceptional Global Satisfaction Survey
Video Analysis Randomized Videos Three Faculty Raters Instrument Range 0-32
Statistical Methods Intra-class Correlation Paired Sample t-test Within Group Differences Independent Sample t-test Between Group Differences Mann-Whitney U Satisfaction Ratings
Results 33 Subjects Inter-rater Reliability Pre-Instruction =.80 Post Instruction =.82 Post Intervention =.83
Conclusion Feedback improved performance Compliments resulted in the greater satisfaction Combine global compliments with specific feedback Use caution with satisfaction surveys