Quality of dictated feedback associated with SIMPL operative assessments of pediatric surgical trainees |
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| Authors: | Benjamin Zendejas Ayca Toprak Amanda W Harrington Craig W Lillehei Biren P Modi |
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| Institution: | 1. Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA, USA;2. Department of General Surgery, Massachusetts General Hospital, Boston, MA, USA;3. Amherst H. Wilder Foundation, Saint Paul, MN, USA;4. Department of Anesthesiology, Beth Israel Deaconess Medical Center, Boston, MA, USA;1. Division of Vascular and Endovascular Surgery, University of Texas Health at San Antonio, San Antonio, TX, USA;2. South Texas Center for Vascular Care South Texas Medical Center, San Antonio, TX, USA;3. Shanghai Medical College, Fudan University, Shanghai, China;4. Department of Surgery Long School of Medicine, University of Texas Health at San Antonio, San Antonio, TX, USA;1. Department of Surgery, Mayo Clinic, 200th 1st Street, Rochester MN, 55905, USA;2. Department of Health Services Research, Mayo Clinic, 200th 1st Street, Rochester MN, 55905, USA;3. Mayo Clinic Robert D and Patricia E Kern Center for the Science of Health Care Delivery, 200th 1st Street, Rochester MN, 55905, USA;1. Massachusetts General Hospital, Department of Surgery, Division of Surgical Oncology, USA;2. Brigham and Women’s Hospital, Department of Surgery, Division of Endocrine Surgery, USA;3. Medical College of Wisconsin, Department of Surgery, Division of Endocrine Surgery, USA;4. Vanderbilt University, Department of Surgery, Division of Surgical Oncology, USA;5. Rush University Medical Center, Department of Surgery, Division of Surgical Oncology, USA |
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| Abstract: | BackgroundSIMPL is a workplace-based operative performance assessment tool which allows for dictated feedback (DF). To better understand the value of DF, we sought to characterize the type and quality of DF generated during SIMPL evaluations.MethodsThematic analysis of DF from SIMPL assessments between June 2017 and December 2018 at a single pediatric surgery fellowship program was performed. Comments were categorized as specific, encouraging or corrective. Categories were combined to determine DF quality as effective, mediocre or ineffective.ResultsOf 781 SIMPL assessments (21 faculty, 5 trainees), 451 (57%) had DF. Most comments were encouraging (93%) and specific (65%). Only 21% were corrective, 17% had entrustment features, and 8% had an explicit learning plan. Feedback quality was deemed mediocre (45%), ineffective (33%) and effective (21%).ConclusionSIMPL dictated feedback was mostly encouraging and specific. To improve quality, feedback should incorporate learning plans as well as corrective and entrustment features. |
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| Keywords: | Assessment Feedback Quality Entrustment |
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