The interplay between residency program culture and feedback culture: a cross-sectional study exploring perceptions of residents at three institutions
The interplay between residency program culture and feedback culture: a cross-sectional study exploring perceptions of residents at three institutions
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DOI：
10.1080/10872981.2019.1611296
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发表时间：
2019-01-01
影响因子：
4.6
通讯作者：
Blanco, Maria
中科院分区：
文献类型：
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作者：
Bing-You, Robert;Ramani, Subha;Blanco, Maria
背景：给予和接受改变成绩的反馈受到临床学习环境的显著影响。这种环境是多层面的，但既包括组织层面，也包括反馈层面。目的：探讨居民对住院医师计划文化和反馈文化的认知之间的关系，以及不同学科和机构的居民对住院医师计划文化和反馈文化的认知是否存在差异。我们假设居民更喜欢特定的项目文化类型，并且驻留项目的文化的某些方面与反馈文化相关。设计：来自3个机构6个专业的住院医师自愿完成两个有效的调查工具(组织文化评定量表[OCAI]和医学教育反馈[FeedMe]-文化调查)，分别评估住院医师计划和反馈文化。采用描述性统计和非参数检验对数据进行分析。结果：总有效率为37.9%(116/306)。49.3%的居民和56.8%的居民将氏族文化作为当前文化和首选文化。儿科的“家族”文化高于外科(P=0.01)，不同的专业之间存在差异。多元回归分析显示，等级文化类型与反馈文化均分显著相关(p=
Background: Giving and receiving feedback that changes performance is influenced significantly by the clinical learning environment. This environment is multi-dimensional but includes both organizational and feedback specific dimensions. Objective: The objectives of this research were to investigate the relationship between residents' perceptions of residency program culture and feedback culture; and whether there were differences in resident perceptions of their programs' and feedback cultures based on their disciplines and institution. We hypothesized that residents preferred certain program culture types and that certain aspects of a residency program's culture were related to the feedback culture. Design: Residents from six specialties at three institutions voluntarily completed two validated survey instruments (Organizational Culture Assessment Instrument [OCAI] and Feedback in Medical Education [FEEDME]-Culture survey) to assess the residency program and feedback cultures, respectively. Descriptive statistics were calculated and non-parametric tests were used to analyze the data. Results: The overall response rate was 37.9% (116/306 residents). 'Clan' culture was both the current and preferred culture by 49.3% and 56.8%, respectively, of the residents overall. There were differences across programs with more current 'clan' culture in pediatrics than in surgery (P = 0.01). Multiple regression analysis showed the Hierarchy Now culture type was significantly related to the feedback culture mean score (p =