SubmissionId 60690

Accepted Type
Oral

Code
OC3-1-2

Acceptance Declaration
Accept

Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.

Was this work accepted for CCME 2020?
no

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Research

Will the presenter be a:
Other

Presenter Other
Mid career faculty

Affiliation

Considered for Poster
yes

Title
Findings from the Implementation of a Modified R2C2 Model of Feedback for Psychiatry Residents within a Competency-based Medical Education Framework

Length of Presentation

Background/Purpose
Coaching and feedback are crucial to facilitate progress for residents. R2C2 is a validated model of feedback comprising of four iterative phases (building relationship, exploring reactions, exploring content, coaching). This study reports on the implementation of a modified iteration of the model in a competency-based medical education (CBME) context. The Consolidated Framework for Implementation Research (CFIR) was used to identify factors that influenced intervention, implementation and effectiveness. The modified R2C2 model encourages supervisors to reflect on power dynamics within the supervisor-resident relationship, whilst using all other elements of the original model.

Methods
Supervisors received training in the modified R2C2 model. During implementation, support from educational leaders was available to help supervisors solidify their learning. Semi-structured interviews were conducted with supervisors (n=9) to understand their experience of using the model and the implementation process.

Results
Using a grounded theory approach, results from supervisor interviews revealed factors associated with the process of implementing an educational initiative. Participants also highlighted a need to consider power-dynamics in the supervisor-resident relationship.

Conclusion
The supervisors' experiences of the modified R2C2 model offer promising insights for considering the implementation supports needed to sustain programmatic feedback. This study will be of interest to supervisors or other clinical leaders who aim to implement structured feedback practices within a CBME framework.

Keyword 1
Competency Based Medical Education

Keyword 2
Structured Feedback

Keyword 3
Faculty Development

Level of Training
CPD (faculty development, CME)

Abstract Themes
Faculty Development

Additional Theme (First choice)
Postgraduate

Additional Theme (Second Choice)

Additional Theme (Third Choice)

Authors
Presenter
    Shaheen Darani

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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