Evaluating postgraduate family medicine supervisor feedback in registrars’ learning portfolios
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Evaluating postgraduate family medicine supervisor feedback in registrars’ learning portfolios | |
| Creator | Erumeda, Neetha J. George, Ann Z. Jenkins, Louis S. | |
| Description | Background: Postgraduate supervision forms a vital component of decentralised family medicine training. While the components of effective supervisory feedback have been explored in high-income countries, how this construct is delivered in resource-constrained low- to middle-income countries has not been investigated adequately.Aim: This article evaluated supervisory feedback in family medicine registrars’ learning portfolios (LPs) as captured in their learning plans and mini-Clinical Evaluation Exercise (mini-CEX) forms and whether the training district or the year of training affected the nature of the feedback.Setting: Registrars’ LPs from 2020 across five decentralised sites affiliated with the University of the Witwatersrand in South Africa were analysed.Methods: Two modified tools were used to evaluate the quantity of the written feedback in 38 learning plans and 57 mini-CEX forms. Descriptive statistics, Fisher’s exact and Wilcoxon rank-sum tests were used for analysis. Content analysis was used to derive counts of areas of feedback.Results: Most learning plans (61.2%) did not refer to registrars’ clinical knowledge or offer an improvement strategy (86.1%). The ‘extent of supervisors’ feedback’ was rated as ‘poor’ (63.2%), with only 14.0% rated as ‘good.’ The ‘some’ and ‘no’ feedback categories in the mini-CEX competencies (p 0.001 to p = 0.014) and the ‘extent of supervisors’ feedback’ (p 0.001) were significantly associated with training district. Feedback focused less on clinical reasoning and negotiation skills.Conclusion: Supervisors should provide specific and constructive narrative feedback and an action plan to improve registrars’ future performance.Contribution: Supervisory feedback in postgraduate family medicine training needs overall improvement to develop skilled family physicians. | |
| Publisher | AOSIS | |
| Date | 2022-12-20 | |
| Identifier | 10.4102/phcfm.v14i1.3744 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 10 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/3744/5943
https://phcfm.org/index.php/phcfm/article/view/3744/5944
https://phcfm.org/index.php/phcfm/article/view/3744/5945
https://phcfm.org/index.php/phcfm/article/view/3744/5946
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