Feedback guide for direct observation of family medicine residents in Canada: a francophone tool

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DOI:

https://doi.org/10.36834/cmej.72587

Abstract

Background: There are no CanMEDS-FM-based milestone tool to guide feedback during direct observation (DO). We have developed a guide to support documentation of feedback for direct observation (DO) in Canadian family medicine (FP) programs.

Methods: The Guide was designed in three phases with the collaboration of five Canadian FP programs with at least a French-speaking teaching site: 1) literature review and needs study; 2) development of the SPOD Feedback Guide; 3) testing the Guide in a video simulation context with qualitative content analysis.

Results: Phase 1 demonstrated the need for a narrative guide aimed at 1) specifying mutual expectations according to the resident's level of training and the clinical context, 2) providing the supervisor with tools and structure in his observations 3) to facilitate documentation of feedback. Phase 2 made it possible to develop the Guide, in paper and electronic formats, meeting the needs identified. In phase 3, 15 supervisors used the guide for three levels of residence. The Guide was adjusted following this testing to recall the phases of the clinical encounter that were often forgotten during feedback (before consultation, diagnosis and follow-up), and to suggest types of formulation to be favored (stimulating questions). , questions of clarification, reflections).

Conclusion: Based on evidence and a collaborative approach, this Guide will equip French-speaking Canadian supervisors performing SPOD in family medicine.

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Author Biographies

Miriam Lacasse, Universite Laval

Professeure agrégée, Département de médecine familiale et de médecine d'urgence, Faculté de médecine

Jean-Sébastien Renaud, Université Laval

Associate professor, Département de médecine familiale et de médecine d'urgence, Faculté de médecine, Université Laval

Luc Côté, Université Laval

Professor, Département de médecine familiale et de médecine d'urgence, Faculté de médecine, Université Laval

Alexandre Lafleur, Université Laval

Associate clinical professor, Department of medicine, Faculté de médecine, Université Laval

Marie-Pierre Codsi, Université de Montréal

Lecturer, Département de médecine familiale et de médecine d’urgence, Université de Montréal

Marion Dove, Université McGill

Associate Professor, Department of Family Medicine, McGill University

Luce Pélissier-Simard, Université de Sherbrooke

Professor, Département de médecine de famille et de médecine d'urgence, Faculté de médecine et des sciences de la santé, Université de Sherbrooke

Lyne Pitre, Université d'Ottawa

Associate professor, Department of family medicine, Faculty of Medicine, University of Ottawa

Christian Rheault, Université Laval

Associate professor, Département de médecine familiale et de médecine d'urgence, Faculté de médecine, Université Laval

Published

2021-11-17

How to Cite

1.
Lacasse M, Renaud J-S, Côté L, Lafleur A, Codsi M-P, Dove M, Pélissier-Simard L, Pitre L, Rheault C. Feedback guide for direct observation of family medicine residents in Canada: a francophone tool. Can. Med. Ed. J [Internet]. 2021 Nov. 17 [cited 2024 Nov. 12];13(1):29-54. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/72587

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Section

Original Research

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