2016
DOI: 10.1016/j.amjsurg.2015.10.002
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Examining the barriers to meaningful assessment and feedback in medical training

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Cited by 59 publications
(57 citation statements)
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“…Yet in spite of all of its (theoretical) merits, assessment as a method has proven difficult to implement in practice. Other qualitative studies have shown that the perception and use of work-place-based assessment is often less than optimal for a number of reasons: Assessment results are not considered proof of clinical competency, 46 attachment of learning value to assessment is limited, 47,48 there is reluctance to provide constructive feedback to trainees, 49 and there is an overall negative attitude towards assessment among both trainers and trainees. 28,47,50,51 Our study adds the perspective that while formative assessment methods may in principle be beneficial for learning and patient safety, actually using assessment in the clinic can be a muddled, emotional, and inconvenient process where multiple agendas converge, and doctors may re-articulate, negotiate, and resist using the formative assessment methods as intended.…”
Section: Discussionmentioning
confidence: 99%
“…Yet in spite of all of its (theoretical) merits, assessment as a method has proven difficult to implement in practice. Other qualitative studies have shown that the perception and use of work-place-based assessment is often less than optimal for a number of reasons: Assessment results are not considered proof of clinical competency, 46 attachment of learning value to assessment is limited, 47,48 there is reluctance to provide constructive feedback to trainees, 49 and there is an overall negative attitude towards assessment among both trainers and trainees. 28,47,50,51 Our study adds the perspective that while formative assessment methods may in principle be beneficial for learning and patient safety, actually using assessment in the clinic can be a muddled, emotional, and inconvenient process where multiple agendas converge, and doctors may re-articulate, negotiate, and resist using the formative assessment methods as intended.…”
Section: Discussionmentioning
confidence: 99%
“…Senior registrars reported that they received intermittent feedback and the heavy clinical workload they had to bear impacted on the time they had for studying and to reflect on feedback (McQueen et al 2016;Shrivastava, Shrivastava and Ramasamy 2014;Cantillon and Sargeant 2008).…”
Section: Discussionmentioning
confidence: 99%
“…Since Dudek and colleagues' seminal 'failure to fail' article 1 in 2005, a steady stream of findings have shown that assessors can often resist providing below-average ratings and writing comments that might be interpreted negatively, even when unsatisfactory clinical performance has been recognised. [2][3][4][5][6][7][8][9][10][11] Assessors are concerned that low ratings and constructive comments will be perceived as confrontational, 12 a type of harassment, 9 a form of punishment 5 or negatively overwhelming to the trainee. 13 Grade inflation, 14 delayed submission of assessments 6 and use of informal backchannels to circumvent formal assessment documentation 15 continue amidst the implementation of counterstrategies.…”
Section: Introductionmentioning
confidence: 99%