Making sense of feedback experiences: a multi-school study of medical students' narratives.

Context Until recently, the perspective of students in the feedback process has been ignored, with strategies for improvement focusing on the tutor and feedback delivery. We employed an original narrative interviewing approach to explore how medical students make sense of their experiences of feedba...

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Publicado en:Medical Education Vol. 48; no. 2; pp. 189 - 204
Autores principales: Urquhart, Lynn M, Rees, Charlotte E, Ker, Jean S
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2014
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Making sense of feedback experiences: a multi-school study of medical students' narratives.
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          Urquhart, Lynn M
          Rees, Charlotte E
          Ker, Jean S
        affil: Medical Education Institute, University of Dundee
      sug:
        subj:
          Feedback
          Student Attitudes
          Narratives
          Students, Medical
          Human
          Qualitative Studies
          Interviews
          United Kingdom
          Thematic Analysis
          Discourse Analysis
          Teaching Methods
          Learning Styles
          Focus Groups
          Multicenter Studies
          Audiorecording
          Adolescence
          Young Adult
          Adult
          Male
          Female
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Context Until recently, the perspective of students in the feedback process has been ignored, with strategies for improvement focusing on the tutor and feedback delivery. We employed an original narrative interviewing approach to explore how medical students make sense of their experiences of feedback. Methods A qualitative design was adopted employing three individual and 10 group interviews to elicit narratives of feedback experiences from 53 medical students at three 5-year undergraduate programmes in the UK during 2011. Thematic analysis was undertaken of students' understandings of feedback and of their narratives of positive and negative experiences of feedback at medical school. In addition, thematic and discourse analysis of the linguistic and paralinguistic features of talk within the narratives was conducted. Results Students typically constructed feedback as a monologic process that happened 'to' them rather than 'with' them. They shared 352 distinct narratives of feedback experiences, which were rich in linguistic and paralinguistic features of talk. Through the analysis of the interplay between the 'whats' and 'hows' of student talk, i.e. emotion, pronominal and metaphoric talk and laughter, we were able to understand how students find meaning in their experiences. Students used laughter as a coping strategy, emotion talk as a means to convince the audience of the impact of feedback, pronominal and metaphoric talk to describe their relationship (often adversarial) with their feedback providers and to communicate feelings that they might otherwise struggle to articulate. Conclusions This research extends current feedback literature by focusing on medical students' lived experiences of feedback and their emotional impact through narrative. We go on to discuss the educational implications of our findings and to make recommendations for improvement of the feedback process for students, tutors and for institutions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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