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Making Narrative Feedback Meaningful
Making Narrative Feedback Meaningful
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This project from the University of Kentucky College of Medicine examined whether faculty development could improve the quality of narrative feedback given to third-year medical students (M3s).<br /><br />The team created a narrative feedback rubric to score evaluations across three domains: positive feedback, constructive feedback, and an improvement plan. Each domain was rated from 0 to 2, based on whether feedback was absent, present but nonspecific, or specific to a skill/behavior. The rubric was tested for reliability using 146 evaluations scored by three raters, achieving excellent agreement (intraclass correlation coefficient = 0.959).<br /><br />They then measured feedback quality before and after an intervention. Pre-intervention scoring included 323 evaluations from 35 faculty members in 2019–2020. The intervention had two parts: general faculty development during hospitalist group meetings in 2020–2021, followed by targeted individual feedback through one-on-one meetings and score reports with each faculty member in January–March 2021. Post-intervention scoring included 202 evaluations from 24 faculty members in 2021–2022.<br /><br />Results showed that targeted faculty development improved narrative feedback quality, with a statistically significant change in mean ratings (p = 0.05). The project suggests that both broad faculty education and individualized feedback can help teachers provide more meaningful, specific, and actionable comments to students.<br /><br />Planned next steps include expanding the rubric and intervention to other groups, settings, and institutions, as well as external validation of the tool.
Asset Subtitle
Alan M. Hall
Meta Tag
Author List
Adam Gray, Alan M. Hall, John W. Ragsdale
Category
Research
Concept
Narrative Feedback Rubric
Concept
Faculty Development Intervention
Concept
Clinical Evaluation Comment
Concept
Feedback Quality
Concept
Specificity
Distinguished
Non-Finalist
Presenter Organization
University of Kentucky College of Medicine
Presenting Author
Alan M. Hall
Track
Education
Keywords
faculty development
narrative feedback
medical education
third-year medical students
feedback rubric
evaluation quality
constructive feedback
improvement plan
hospitalist group meetings
intraclass correlation coefficient
Narrative Feedback Rubric
Faculty Development Intervention
Clinical Evaluation Comment
Feedback Quality
Specificity
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