"Well I Failed, but I Have No Idea Why"…: Experiences of Feedback After High-Stakes Summative Specialist Medical Examination in Ophthalmology.

IF 2 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Medical Education and Curricular Development Pub Date : 2024-11-03 eCollection Date: 2024-01-01 DOI:10.1177/23821205241286288
Belinda Jessup, Penny Allen, Melissa Kirschbaum, Santosh Khanal, Victoria Baker-Smith, Barnabas Graham, Tony Barnett
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Abstract

Objective: Medical specialist trainees report dissatisfaction with both the usefulness and timing of feedback provided following summative examinations. This study aimed to explore ophthalmology trainee and supervisor experiences of feedback following final summative examination (the Royal Australian and New Zealand College of Ophthalmologists Advanced Clinical Examination (RACE)).

Methods: Semi-structured interviews were undertaken with ophthalmology trainees who had recently sat RACE (2017-2021) (n = 19) and supervising ophthalmologists who support trainees to prepare for RACE (n = 10). Interview data were thematically analyzed.

Results: Two themes were identified. Inadequate feedback related to trainee experiences receiving feedback relating to examination performance that was insufficient and unhelpful in identifying gaps in learning, explaining the reasons for failure and supporting preparation for resitting. Inability to contextualize feedback encompassed trainee and supervisor concerns regarding the inability to review examination manuscripts after sitting the examination, the absence of marking criteria, rubrics and model answers to understand the passing standard and the lack of opportunity to discuss performance with examiners.

Conclusions: Detailed, individualized task-level and process-level feedback on examination performance is needed for all trainees. Opportunities to view examination manuscripts, marking criteria and model answers, as well as speak with examiners, would improve transparency of the assessment process, enhance feedback and improve trainee success.

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"我失败了,但我不知道为什么".....:眼科专家医学考试后的反馈经历。
目的:医学专科受训人员对终结性考试后提供的反馈意见的有用性和时间安排均表示不满。本研究旨在探讨眼科受训人员和督导人员在最终终结性考试(澳大利亚和新西兰皇家眼科医学院高级临床考试(RACE))后获得反馈的经验:对最近参加 RACE 考试(2017-2021 年)的眼科受训人员(19 人)和支持受训人员准备 RACE 考试的眼科督导医师(10 人)进行了半结构式访谈。对访谈数据进行了主题分析:结果:确定了两个主题。反馈不足是指受训者收到的与考试成绩有关的反馈不够充分,无助于找出学习中的不足、解释失败的原因和支持重新考试的准备工作。无法将反馈与实际情况相结合,包括学员和督导对考试后无法审阅考试手稿、缺乏评分标准、评分标准和范答以了解及格标准,以及缺乏与主考官讨论考试成绩的机会等问题的担忧:结论:需要为所有学员提供详细的、个性化的任务级和过程级考试成绩反馈。有机会查看考试手稿、评分标准和示范答案,以及与主考官交谈,将提高评估过程的透明度,加强反馈并提高学员的成功率。
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来源期刊
Journal of Medical Education and Curricular Development
Journal of Medical Education and Curricular Development EDUCATION, SCIENTIFIC DISCIPLINES-
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62
审稿时长
8 weeks
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