Christy Noble

Enhancing interprofessional feedback practices: a video-reflexive ethnography study

Effective interprofessional feedback in clinical practice enhances health care professionals’ performance and, ultimately, improves patient outcomes. However, enacting effective feedback in busy and complex clinical settings is challenging. This project aims to better understand the relational and socio-cultural characteristics of interprofessional feedback. Specifically, we ask, how are in situ interprofessional feedback (i.e., between practitioners from different professions) processes enacted in clinical settings. Moreover, using an innovative methodology – video-reflexive ethnography (VRE) – where ordinary daily feedback exchanges will be filmed and reflected on by health care professionals – this project will also contribute to enriching feedback experiences of health care professionals s. You will work with experienced supervisors in medical education, interprofessional learning and social sciences. Successful outcomes of this project will be peer-reviewed publications in high-impact journals and the chance to contribute to enhancing healthcare professional experiences of feedback and ultimately, enhance both medical education and clinical practice.

Translating feedback evidence into medical practice: can implementation science help?

Effective feedback by supervisors and peers is necessary for medical practitioners to improve their practice. Despite much evidence describing best feedback practices, variation in enactments of feedback in clinical settings results in missed opportunities for performance improvement. Tailored methods of implementing feedback evidence into practice, informed by better understanding of the barriers and enablers to effective feedback, may reduce this variation and improve practice. Implementation science is a relatively new approach which provides tools for enhancing uptake of evidence into practice. It has used both within clinical practice and in school-based education programs. However, there are few published examples of its application in clinical education. This project will apply implementation science tools and methods to enhance feedback practices in clinical settings. Using mixed methods, the PhD candidate will:

• Conduct a systematic literature review of feedback practices in medical education
• Determine barriers and facilitators to effective feedback practices in the workplace
• Develop tailored implementation strategies to enhance feedback practices
• Evaluate the feasibility and acceptability of the implementation strategies.

With experienced supervisors in medical education and implementation science, this project will result in high-quality research outputs including publications and conference presentations. It will provide the candidate with opportunities to improve the experience of giving and receiving feedback, and enhance both medical education and clinical practice.