Quality of dictated feedback associated with SIMPL operative assessments of pediatric surgical trainees

SIMPL 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. Thematic analysis of DF from SIMPL assessments between June 2017 an...

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Bibliographic Details
Published in:The American journal of surgery 2021-02, Vol.221 (2), p.303-308
Main Authors: Zendejas, Benjamin, Toprak, Ayca, Harrington, Amanda W., Lillehei, Craig W., Modi, Biren P.
Format: Article
Language:English
Subjects:
Assessment
Clinical Competence - standards
Collaboration
Employee Performance Appraisal - methods
Entrustment
Feedback
Formative Feedback
Humans
Internship and Residency - organization & administration
Internship and Residency - standards
Learning
Narratives
Pediatrics
Pediatrics - education
Pediatrics - standards
Performance assessment
Qualitative Research
Quality
Quality Improvement
Specialties, Surgical - education
Specialties, Surgical - standards
Surgeons
Surgery
Surgical Procedures, Operative - education
Surgical Procedures, Operative - standards
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Summary:SIMPL 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. Thematic 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. Of 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%). SIMPL dictated feedback was mostly encouraging and specific. To improve quality, feedback should incorporate learning plans as well as corrective and entrustment features. •Dictated feedback from SIMPL assessments is predominantly encouraging and specific•Trainees prefer feedback with learning plans, corrective and entrustment features•Efforts to improve feedback quality from SIMPL assessments are needed•SIMPL rater training should incorporate teaching of effective feedback strategies
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2020.10.014