Abstract
This article was migrated. The article was not marked as recommended. Introduction: MSF is mandatory for trainee doctors therefore it would be tempting to assume its educational benefits. UK medical trainees do not have to obtain patient feedback as part of MSF. There is evidence examining various aspects of patient feedback and MSF, but little specifically on the performance effects of MSF with patient feedback. By systematically reviewing the literature I aim to explore these effects. Method: Multiple databases were systematically searched for eligible literature which was critically reviewed, evaluated and summarised Results: Quality of studies was variable; most had small, uncontrolled samples, assessing outcomes at lower Kirkpatrick levels (Barr et al., 2000). Although one RCT and a prospective cohort provided stronger evidence. They were generally positive about the educational benefits of MSF with patient feedback, providing evidence to be interpreted with caution. They also revealed insight into particular factors important to include in MSF to maximise benefit. Conclusions: There is evidence that MSF with patient feedback can lead to performance improvement although more robust evidence is needed. Consideration could be given to improve the MSF tools trainees in the UK currently use.
Highlights
multisource feedback (MSF) is mandatory for trainee doctors it would be tempting to assume its educational benefits
Because of the emphasis placed on Workplace-based assessments (WPBA) in medical training it would be tempting to assume they lead to performance improvement, especially considering evidence that feedback can help change practice (Saedon et al, 2012; Veloski et al, 2006)
Of the studies that looked at intention to change or self-reported changes, most found that a majority of participants responded in a positive way to MSF and were either considering or had initiated changes following feedback (Fidler et al, 1999; Hall et al, 1999; Lipner et al, 2002; Overeem et al, 2010; Overeem et al, 2009a; Overeem et al, 2009b; Overeem et al, 2012; Sargeant et al, 2003; Violato, Lockyer & Fidler, 2003)
Summary
MSF is mandatory for trainee doctors it would be tempting to assume its educational benefits. Workplace-based assessments (WPBA) were introduced in 2005 and are mandatory for all trainees (Brittlebank et al, 2013) They aim to assess what doctors do in practice, at the top of Miller’s pyramid (Miller, 1990).They arguably provide more objective and valid judgement of performance (Norcini & Burch, 2007) than the observations of an educational supervisor and have formative potential rather than assessments. Because of the emphasis placed on WPBA in medical training it would be tempting to assume they lead to performance improvement, especially considering evidence that feedback can help change practice (Saedon et al, 2012; Veloski et al, 2006). Ferguson examined MSF and concluded that there was limited evidence suggesting MSF leads to practice improvement These reviews do not look at MSF including patient feedback or psychiatric trainees. By systematically reviewing the literature I seek to answer the questions: Does MSF with patient feedback improve performance of psychiatric trainees? What are the effects and influencing factors of MSF with patient feedback on psychiatric trainees? Following initial literature review this question was expanded to ‘all qualified doctors’ due to lack of more specific evidence
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