Evidence map›Paper›PMID 39346122›Full record

ArticleJournal of medical education and curricular development

Evaluating Feedback Comments in Entrustable Professional Activities: A Cross-Sectional Study.

Vasiliki Andreou, Sanne Peters, Jan Eggermont, Birgitte Schoenmakers

Abstract read
In one paragraph

Article in Journal of medical education and curricular development. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Vasiliki AndreouDepartment of Public Health and Primary Care, Academic Centre for General Practice, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-6679-0514
Sanne PetersDepartment of Public Health and Primary Care, Academic Centre for General Practice, KU Leuven, Leuven, Belgium.
Jan EggermontDepartment of Cellular and Molecular Medicine, KU Leuven, Leuven, Belgium.
Birgitte SchoenmakersDepartment of Public Health and Primary Care, Academic Centre for General Practice, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0003-1909-9613

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCompetency-based medical education (CBME) has transformed postgraduate medical training, prioritizing competency acquisition over traditional time-based curricula. Integral to CBME are Entrustable Professional Activities (EPAs), that aim to provide high-quality feedback for trainee development. Despite its importance, the quality of feedback within EPAs remains underexplored.

methodsWe employed a cross-sectional study to explore feedback quality within EPAs, and to examine factors influencing length of written comments and their relationship to quality. We collected and analyzed 1163 written feedback comments using the Quality of Assessment for Learning (QuAL) score. The QuAL aims to evaluate written feedback from low-stakes workplace assessments, based on 3 quality criteria (evidence, suggestion, connection). Afterwards, we performed correlation and regression analyses to examine factors influencing feedback length and quality.

resultsEPAs facilitated high-quality written feedback, with a significant proportion of comments meeting quality criteria. Task-oriented and actionable feedback was prevalent, enhancing value of low-stakes workplace assessments. From the statistical analyses, the type of assessment tool significantly influenced feedback length and quality, implicating that direct and video observations can yield superior feedback in comparison to case-based discussions. However, no correlation between entrustment scores and feedback quality was found, suggesting potential discrepancies between the feedback and the score on the entrustability scale.

conclusionThis study indicates the role of the EPAs to foster high-quality feedback within CBME. It also highlights the multifaceted feedback dynamics, suggesting the influence of factors such as feedback length and assessment tool on feedback quality. Future research should further explore contextual factors for enhancing medical education practices.

Indexed as

assessmentcompetency-based medical educationentrustable professional activitiesfeedbackgeneral practicemedical educationpostgraduate medical education

Identifiers

PMID39346122
PMCPMC11437546

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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.