Accepted Type
Oral
Code
OD2-3-3
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
Faculty
Affiliation
Considered for Poster
no
Title
Multi-source feedback following simulated resuscitation scenarios: A qualitative study
Length of Presentation
Background/Purpose
The direct observation and assessment of resuscitations in the clinical environment is difficult for attending physicians due to their unpredictable and time-sensitive nature. It is unclear how the assessments of allied health professionals and resident peers, who often attend resuscitations, compare to those of attendings. Soliciting multisource feedback (MSF) may improve the quality of feedback. We explored MSF during a longitudinal simulation-based curriculum with the goal of characterizing its role in the competency-based assessment of resuscitation.
Methods
This qualitative study included medical residents in their first postgraduate year who participated in a simulation-based resuscitation course during the 2017-2018 academic year at two Canadian institutions. Assessments included an entrustment score and narrative comments from attendings, registered nurses, and peers in addition to a self-assessment. Narrative comments were thematically analyzed overall and within assessor groups.
Results
Sixty residents from 14 medical specialties participated. 223 assessments were completed and analyzed. Four themes emerged: 1) Communication, 2) Leadership, 3) Demeanor, and 4) Medical Expert. Relative to other assessor groups, feedback from nurses focused on patient-centered care and team communication while attendings focused on the medical expert theme. Peer feedback was the most positive. Self-assessment comments addressed all emergent themes.
Conclusion
In the context of a simulation-based resuscitation curriculum, feedback from different sources had varied areas of focus. Therefore, while feedback from peers and allied health professionals cannot replace the feedback of attending physicians, MSF may provide a more holistic reflection of resident performance.
Keyword 1
multisource feedback
Keyword 2
resuscitation
Keyword 3
assessment
Level of Training
Post Graduate
Abstract Themes
Assessment
Assessment
Competency-based assessment
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Timothy Chaplin
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
