American Council of Academic Plastic Surgeons
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Improving Resident Education through Directed Feedback
David Perrault, MD; Connor Arquette MD; Paige Fox MD PHD
Stanford University, Palo Alto, CA, USA

Background: Feedback is an essential part of any learning system, especially in goal-directed learning. In surgical education, and medicine in general, feedback is a highly valuable aspect of resident learning in particular. In fact, Practice-Based Learning and Improvement is one of the six ACGME-mandated Core Competencies. The current ACGME required evaluation system (aka the Milestones) only requires biannual resident evaluation and is completed electronically. Given the importance of feedback directed learning, we aimed to create a structured in person, mid-rotation resident feedback system that would yield objective and actionable items for resident improvement.
Methods: An in person resident feedback system was implemented at the midpoint of each rotation based on pre-existing goals and objectives of each clinical site. Residents were scheduled to meet with a Faculty member one-on-one and be evaluated based on the goals and objectives. Residents were surveyed before and after implementation of the in person resident feedback system to determine the preferred method of feedback and value of a formal midrotation evaluation.
Results: Only 4/19 residents were very satisfied or completely satisfied with the previous evaluation system, whereas 15/19 residents were either moderately satisfied, slightly satisfied, or not satisfied at all. All residents preferred to receive face-to-face feedback. Finally, 12/19 residents preferred to received feedback midrotation. Using this feedback as substrate, the new system was designed and implemented. Midrotation evaluations were completed for all residents on 4 month rotations and that this also allowed faculty to review the goals and objective for each rotation and update them as needed. Up-to-date results on resident perception of the new system is pending.
Conclusion: There was a perceived deficit in the current resident feedback system, prompting a redesign. The new system has been implemented and final results are pending.


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