Evidence map›Paper›PMID 37151853›Full record

ArticlePerspectives on medical education2023

Utilizing Natural Language Processing of Narrative Feedback to Develop a Predictive Model of Pre-Clerkship Performance: Lessons Learned.

Christina Maimone, Brigid M Dolan, Marianne M Green, Sandra M Sanguino, Patricia M Garcia, Celia Laird O'Brien

Abstract read
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Article in Perspectives on medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christina MaimoneAssociate director of research data services, Northwestern IT Research Computing Services, Northwestern University, Evanston, Illinois, USA.ORCID 0000-0002-0402-6297
Brigid M DolanAssociate professor of medicine and medical education and director of assessment, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-3241-6778
Marianne M GreenRaymond H. Curry, MD Professor of Medical Education, professor of medicine, and vice dean for education, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-0721-2095
Sandra M SanguinoAssociate professor of pediatrics and senior associate dean of medical education, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0009-0003-1425-1548
Patricia M GarciaProfessor of obstetrics and gynecology and medical education, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-5676-5983
Celia Laird O'BrienAssistant professor of medical education and assistant dean of program evaluation and accreditation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-9352-4417

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Natural language processing is a promising technique that can be used to create efficiencies in the review of narrative feedback to learners. The Feinberg School of Medicine has implemented formal review of pre-clerkship narrative feedback since 2014 through its portfolio assessment system but this process requires considerable time and effort. This article describes how natural language processing was used to build a predictive model of pre-clerkship student performance that can be utilized to assist competency committee reviews. Approach: The authors took an iterative and inductive approach to the analysis, which allowed them to identify characteristics of narrative feedback that are both predictive of performance and useful to faculty reviewers. Words and phrases were manually grouped into topics that represented concepts illustrating student performance. Topics were reviewed by experienced reviewers, tested for consistency across time, and checked to ensure they did not demonstrate bias. Outcomes: Sixteen topic groups of words and phrases were found to be predictive of performance. The best-fitting model used a combination of topic groups, word counts, and categorical ratings. The model had an AUC value of 0.92 on the training data and 0.88 on the test data. Reflection: A thoughtful, careful approach to using natural language processing was essential. Given the idiosyncrasies of narrative feedback in medical education, standard natural language processing packages were not adequate for predicting student outcomes. Rather, employing qualitative techniques including repeated member checking and iterative revision resulted in a useful and salient predictive model.

Indexed as

Education, MedicalStudents, MedicalFeedbackHumansNarrationNatural Language Processing

Identifiers

PMID37151853
PMCPMC10162355

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.