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.