This article was migrated. The article was not marked as recommended. Introduction: We performed a pilot study to improve self-efficacy with giving and receiving feedback among primary care Internal Medicine residents in the ambulatory setting. Methods: We trained Internal Medicine residents to give and receive feedback, scheduled observation sessions, and protected time for feedback and reflection on the process. This pilot took place over four month-long ambulatory blocks over a two-year period at the University of Washington's primary care continuity clinic sites. Twenty-eight residents participated each year. We developed a survey question to measure self-efficacy with feedback and compared means using the Wilcoxin Signed-Rank test. We also collected qualitative data that was analyzed using Grounded Theory. Results: The residents demonstrated a statistically significant and meaningful increase in their self-efficacy with giving feedback to peers. Conclusion: Peer-to-peer feedback is a low-cost, high-yield way to increase feedback and feedback-seeking behavior without undermining resident autonomy. This educational intervention could be easily translated across clinical settings and specialties. Based on the initial success of the program, the University of Washington internal medicine residency program will provide expanded opportunities for structured, longitudinal peer observation and feedback.
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