CLINICAL SKILLS INSTRUCTOR’S PERCEPTION OF FEEDBACK EXPERIENCE USING THE PENDLETON METHOD

https://doi.org/10.22146/jpki.76608

Ronanarasafa Ronanarasafa(1*), Mora Claramita(2), Yoyo Suhoyo(3)

(1) Fakultas Kedokteran Universitas Islam Al - Azhar, NTB
(2) Departemen Pendidikan Kedokteran dan Bioetika, Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(3) Departemen Pendidikan Kedokteran dan Bioetika, Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Background: Feedback at the    Faculty of Medicine, Universitas Islam Al-Azhar is one of the formative assessments given to the students. The feedback given so far is unstructured and tends to emphasize only the negative side. The process of providing feedback needs to be deeply evaluated by using a framework from the Pendleton method. This study aims to evaluate the training in giving feedback using the Pendleton method for clinical skills instructors.

Methods:  A mixed-method design was used. The study assessed changes in instructors’ knowledge and application of the Pendleton feedback method, as well as their experience in delivering structured feedback. Knowledge was measured with a pre–posttest questionnaire, while the ability to deliver feedback was assessed using a Likert-scale rating completed by trained observers during feedback sessions. In addition, a focus group discussion (FGD) with four guiding questions was conducted among instructors who had completed the training and implemented the Pendleton feedback method. Qualitative data were analyzed using content analysis.

Results: There was a significant improvement in instructors’ knowledge of how to give structured feedback in clinical teaching settings after the Pendleton training. This improvement was also supported by insights from the FGD, which indicated enhanced confidence and clarity in delivering feedback.

Conclusion: The Pendleton technique of feedback is effective in improving instructors’ ability to provide structured and constructive feedback in clinical education. This structured approach was perceived by participants as useful for facilitating student learning and enhancing the overall feedback process.   

Keywords


Pendleton method feedback, Clinical skills instructor. Clinical Skills, feedback training

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References

  1. Harden RM. The integration ladder: a tool for curriculum planning and evaluation. Med Educ [Internet]. 2000.

  2. Taras M. Using Assessment for Learning and Learning from Assessment. Assess & Eval High Educ [Internet]. 2002;27(6):501–10. Available from: http://dx.doi.org/10.1080/0260293022000020273

  3. Roy A, Jauhari N, Bharadvaja N. Medicinal Plants as a Potential Source of Chemopreventive Agents [Internet]. Anticancer Plants: Natural Products and Biotechnological Implements. Springer Singapore; 2018. p. 109–39. Available from: http://dx.doi.org/10.1007/978-981-10-8064-7_6

  4. Burgess AW, Roberts C, Black KI, Mellis C. Senior medical student perceived ability and experience in giving peer feedback in formative long case examinations. BMC Med Educ [Internet]. 2013;13(1):79. Available from: https://doi.org/10.1186/1472-6920-13-79

  5. Ende J. Feedback in clinical medical education. JAMA. 1983 Aug;250(6):777–81.

  6. Anderson PAM. Giving feedback on clinical skills: are we starving our young? J Grad Med Educ [Internet]. 2012 Jun;4(2):154–8. Available from: https://pubmed.ncbi.nlm.nih.gov/23730434

  7. Rosenthal SL, Stanberry LR. A Framework for Faculty Development. J Pediatr [Internet]. 2011;158(5):693-694.e2. Available from: http://dx.doi.org/10.1016/j.jpeds.2011.01.009

  8. Shehmar M, Khan KS. A guide to the ATSM in Medical Education: Article 3: teaching and assessment in the clinical setting. Obstet & Gynaecol [Internet]. 2010;12(3):199–205. Available from: http://dx.doi.org/10.1576/toag.12.3.199.27603

  9. Tawanwongsri W, Phenwan T. Reflective and feedback performances on Thai medical students’ patient history-taking skills. BMC Med Educ [Internet]. 2019 May 14;19(1):141. Available from: https://pubmed.ncbi.nlm.nih.gov/31088550

  10. Burgess A, van Diggele C, Roberts C, Mellis C. Feedback in the clinical setting. BMC Med Educ [Internet]. 2020;20(2):460. Available from: https://doi.org/10.1186/s12909-020-02280-5

  11. Stalmeijer RE, Mcnaughton N, Van Mook WNKA. Using focus groups in medical education research: AMEE Guide No. 91. Med Teach. 2014 Nov;36(11):923–39.

  12. Tuma F, Nassar AK. Applying Bloom’s taxonomy in clinical surgery: Practical examples. Ann Med Surg [Internet]. 2021 Aug 5;69:102656. Available from: https://pubmed.ncbi.nlm.nih.gov/34429945

  13. Hewson MG, Little ML. Giving feedback in medical education: verification of recommended techniques. J Gen Intern Med [Internet]. 1998; Available from: https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1525-1497.1998.00027.x

  14. Tuck KK, Murchison C, Flores C, Kraakevik J. Survey of Residents’ Attitudes and Awareness Toward Teaching and Student Feedback. J Grad Med Educ. 2014 Dec;6(4):698–703.

  15. Kelly E, Richards JB. Medical education: giving feedback to doctors in training. BMJ. 2019 Jul;366:l4523.

  16. Crommelinck M, Anseel F. Understanding and encouraging feedback‐seeking behaviour: a literature review. Med Educ [Internet]. 2013;47(3):232–41. Available from: http://dx.doi.org/10.1111/medu.12075

  17. Urquhart LM, Rees CE, Ker JS. Making sense of feedback experiences: a multi-school study of medical students’ narratives. Med Educ [Internet]. 2014;48(2):189–203. Available from: http://dx.doi.org/10.1111/medu.12304

  18. Ramani S, Krackov SK. Twelve tips for giving feedback effectively in the clinical environment. Med Teach. 2012;34(10):787–91.

  19. Reddy ST, Zegarek MH, Fromme HB, Ryan MS, Schumann SA, Harris IB. Barriers and Facilitators to Effective Feedback: A Qualitative Analysis of Data From Multispecialty Resident Focus Groups. J Grad Med Educ. 2015 Jun;7(2):214–9.

  20. Chowdhury M. Latex Intolerance [Internet]. CRC Press; 2004. Available from: http://dx.doi.org/10.3109/9780203505670

  21. Suhoyo Y, van Hell EA, Prihatiningsih TS, Kuks JBM, Cohen-Schotanus J. Exploring cultural differences in feedback processes and perceived instructiveness during clerkships: Replicating a Dutch study in Indonesia. Med Teach [Internet]. 2013;36(3):223–9. Available from: http://dx.doi.org/10.3109/0142159x.2013.853117

  22. McKimm J. Giving effective feedback. Br J Hosp Med [Internet]. 2009;70(3):158–61. Available from: http://dx.doi.org/10.12968/hmed.2009.70.3.40570

  23. Watling CJ, Lingard L. Toward meaningful evaluation of medical trainees: the influence of participants’ perceptions of the process. Adv Heal Sci Educ [Internet]. 2010;17(2):183–94. Available from: http://dx.doi.org/10.1007/s10459-010-9223-x

  24. Kogan JR, Conforti LN, Bernabeo EC, Durning SJ, Hauer KE, Holmboe ES. Faculty staff perceptions of feedback to residents after direct observation of clinical skills. Med Educ [Internet]. 2012;46(2):201–15. Available from: http://dx.doi.org/10.1111/j.1365-2923.2011.04137.x



DOI: https://doi.org/10.22146/jpki.76608

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