PDF(Pubmed)
Abstract：
Background An easy-to-use application to facilitate direct observation and allow for 2-way feedback between residents and faculty is needed. Objective To develop a mobile-based application (app) with the goals of (1) providing just-in-time feedback to residents; (2) improving timeliness of feedback by faculty; and (3) allowing residents to comment on the value of faculty feedback. Methods Fifty-one of 69 (74%) internal medicine (IM) residents and 20 of 25 (80%) IM core faculty participated in the study from July 1, 2020, to December 31, 2021. An iOS app was designed by authors with expertise in medical education and application development to capture entrustable professional activities (EPAs)-based feedback (eg, informed consent) based on direct observation of residents\' skills in the workplace. App utilization and narrative feedback characteristics of faculty comments were examined by exporting the data from the database server. The end user satisfaction was examined using a survey instrument. Results Eighty-seven percent of assessments (117 of 134) initiated were fully completed by residents and faculty. Faculty narrative comments were noted in 97% (114 of 117) of completed assessments and 64% (75 of 117) of residents\' feedback to the faculty contained narrative comments. Eighty-three percent (97 of 117) of comments were behaviorally specific and 71% (83 of 117) contained an actionable item. Eighty-six percent (18 of 21) of residents and 90% (9 of 10) of core faculty stated that this application promoted an educational interaction between them. Conclusions This app facilitates the efficient completion of EPA-based formative assessments and captures bidirectional feedback in the workplace setting.
摘要：
背景技术需要易于使用的应用程序来促进直接观察并允许居民和教师之间的双向反馈。目的开发基于移动的应用程序（应用程序），其目标是（1）向居民提供及时的反馈；（2）提高教师反馈的及时性；（3）允许居民评论教师反馈的价值。方法从2020年7月1日至2021年12月31日，69名（74％）内科（IM）居民中的51名和25名（80％）IM核心教师中的20名参加了这项研究。iOS应用程序由具有医学教育和应用程序开发专业知识的作者设计，以捕获基于委托的专业活动（EPA）的反馈（例如，知情同意)基于对工作场所居民技能的直接观察。通过从数据库服务器导出数据，检查了教师评论的应用程序利用率和叙事反馈特征。使用调查工具检查了最终用户的满意度。结果87％的评估（134个中的117个）已由居民和教职员工完全完成。在已完成的评估中，有97％（117中的114）的教师叙述性评论和64％（117中的75）的居民对教师的反馈包含叙述性评论。83％（117中的97）的评论是行为特异性的，71％（117中的83）包含可操作的项目。86％（21个中的18个）的居民和90％（10个中的9个）的核心教师表示，此应用程序促进了他们之间的教育互动。结论此应用程序有助于有效完成基于EPA的形成性评估，并在工作场所环境中捕获双向反馈。
