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Is feedback to medical learners associated with characteristics of improved patient care?


ABSTRACT:

Purpose

To investigate the association of medical learner feedback with patient management and outcomes.

Methods

The authors investigated 27 articles that utilized patient data or chart reviews as a subset of a prior feedback scoping review. Data extraction was completed by two authors and all authors reviewed the descriptive data analysis.

Results

The studies were predominantly short-term investigations conducted in the US at academic teaching hospitals (89%) with one medical discipline (78%), most commonly internal medicine (56%). Patient-related outcomes primarily involved improved documentation (26%) and adherence to practice guidelines (19%) and were mostly measured through chart reviews (56%) or direct observation (15%). The primary method of feedback delivery involved a written format (30%). The majority of the studies showed a positive effect of feedback on the patient-oriented study outcomes (82%), although most involved a non-rigorous study design.

Conclusions

Published studies focusing on the relationship between medical learner feedback and patient care are sparse. Most involve a single discipline at a single institution and are of a non-rigorous design. Measurements of improved patient outcomes are restricted to changes in management, procedures and documentation. Well-designed studies that directly link learner feedback to patient outcomes may help to support the use of feedback in teaching clinical outcomes improvement in alignment with competency-based milestones.

SUBMITTER: Hayes V 

PROVIDER: S-EPMC5630536 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Publications

Is feedback to medical learners associated with characteristics of improved patient care?

Hayes Victoria V   Bing-You Robert R   Varaklis Kalli K   Trowbridge Robert R   Kemp Heather H   McKelvy Dina D  

Perspectives on medical education 20171001 5


<h4>Purpose</h4>To investigate the association of medical learner feedback with patient management and outcomes.<h4>Methods</h4>The authors investigated 27 articles that utilized patient data or chart reviews as a subset of a prior feedback scoping review. Data extraction was completed by two authors and all authors reviewed the descriptive data analysis.<h4>Results</h4>The studies were predominantly short-term investigations conducted in the US at academic teaching hospitals (89%) with one medi  ...[more]

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