Abstract

IntroductionFeedback after assessment is essential to support the development of optimal performance, but often fails to reach its potential. Although different assessment cultures have been proposed, the impact of these cultures on students’ receptivity to feedback is unclear. This study aimed to explore factors which aid or hinder receptivity to feedback.MethodsUsing a constructivist grounded theory approach, the authors conducted six focus groups in three medical schools, in three separate countries, with different institutional approaches to assessment, ranging from a traditional summative assessment structure to a fully implemented programmatic assessment system. The authors analyzed data iteratively, then identified and clarified key themes.ResultsHelpful and counterproductive elements were identified within each school’s assessment system. Four principal themes emerged. Receptivity to feedback was enhanced by assessment cultures which promoted students’ agency, by the provision of authentic and relevant assessment, and by appropriate scaffolding to aid the interpretation of feedback. Provision of grades and comparative ranking provided a helpful external reference but appeared to hinder the promotion of excellence.ConclusionsThis study has identified important factors emerging from different assessment cultures which, if addressed by programme designers, could enhance the learning potential of feedback following assessments. Students should be enabled to have greater control over assessment and feedback processes, which should be as authentic as possible. Effective long-term mentoring facilitates this process. The trend of curriculum change towards constructivism should now be mirrored in the assessment processes in order to enhance receptivity to feedback.

Highlights

  • Feedback after assessment is essential to support the development of optimal performance, but often fails to reach its potential

  • This study has identified important factors emerging from different assessment cultures which, if addressed by programme designers, could enhance the learning potential of feedback following assessments

  • The trend of curriculum change towards constructivism should be mirrored in the assessment processes in order to enhance receptivity to feedback

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Summary

Introduction

Feedback after assessment is essential to support the development of optimal performance, but often fails to reach its potential. This study aimed to explore factors which aid or hinder receptivity to feedback. For the development of optimal clinical performance, the importance of linking feedback with deliberate practice is generally acknowledged [1,2,3]. Medical students demand more feedback after assessment [6, 7] and much advice is available for faculty on feedback delivery [8]. Feedback may not reach its full potential in practice for several reasons. Faculty find it a complex process and fear being perceived as unkind to learners, as they struggle with conflicting aims of improving learners’ future performance and building their confidence. Athletics and teacher education, formative critical feedback was expected to push students towards excellence, whereas this was less expected within medicine [16,17,18,19]

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