What supervisors say in their feedback: construction of CanMEDS roles in workplace settings

Advances in Health Sciences Education : Theory and Practice
Nienke RentingA Debbie C Jaarsma

Abstract

The CanMEDS framework has been widely adopted in residency education and feedback processes are guided by it. It is, however, only one of many influences on what is actually discussed in feedback. The sociohistorical culture of medicine and individual supervisors' contexts, experiences and beliefs are also influential. Our aim was to find how CanMEDS roles are constructed in feedback in a postgraduate curriculum-in-action. We applied a set of discourse analytic tools to written feedback from 591 feedback forms from 7 hospitals, including 3150 feedback comments in which 126 supervisors provided feedback to 120 residents after observing their performance in authentic settings. The role of Collaborator was constructed in two different ways: a cooperative discourse of equality with other workers and patients; and a discourse, which gave residents positions of power-delegating, asserting and 'taking a firm stance'. Efficiency-being fast and to the point emerged as an important attribute of physicians. Patients were seldom part of the discourses and, when they were, they were constructed as objects of communication and collaboration rather than partners. Although some of the discourses are in line with what might be expected, others ...Continue Reading

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Citations

May 10, 2017·Medical Education·Nienke RentingA Debbie C Jaarsma
Jul 27, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Taryn S TaylorLorelei Lingard
Oct 17, 2017·Advances in Health Sciences Education : Theory and Practice·Andrea Oudkerk PoolErik W Driessen
Jan 16, 2018·VASA. Zeitschrift für Gefässkrankheiten·Aspasia TzaniKonstantinos P Economopoulos
Oct 23, 2018·Medical Education·Kori A LaDonnaSayra M Cristancho
Jan 17, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Rasiah BharathanThomas Ind
Sep 7, 2018·Perspectives on Medical Education·Jos A StigtIrene A Slootweg
Mar 4, 2017·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Delphine Daignault-LeclercCédric Andrès
Apr 27, 2021·Journal of Graduate Medical Education·Alexandre LafleurHolly O Witteman

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