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Otolaryngol Head Neck Surg. 2018 Jan;158(1):36-42. doi: 10.1177/0194599817737758. Epub 2017 Oct 24.

High-Quality Feedback Regarding Professionalism and Communication Skills in Otolaryngology Resident Education.

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1 Department of Otolaryngology and Head and Neck Surgery, College of Medicine, University of Arizona, Tucson, Arizona, USA.
2 College of Medicine, University of Arizona, Tucson, Arizona, USA.
3 Health Sciences Library, University of Arizona, Tucson, Arizona, USA.
4 Division of Pediatric Otolaryngology Head and Neck Surgery & Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
5 Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati College of Medicine Cincinnati, Ohio, USA.


Objective The Accreditation Council for Graduate Medical Education (ACGME) requires competency-based education for residents and recommends 5 basic features of high-quality feedback. Our aim was to examine the incorporation of feedback in articles regarding professionalism and interpersonal/communication skills for otolaryngology residency training curriculum. Data Sources PubMed, Embase, ERIC, Cochrane Library, Web of Science, Scopus, and . Methods We used studies identified during a systematic review of all indexed years through October 4, 2016. Results Eighteen studies were included in this review. Professionalism was discussed in 16, of which 15 (94%) examined aspects of feedback. Interpersonal/communication skills were the focus of 16 articles, of which 14 16 (88%) discussed aspects of feedback. Our assessment demonstrated that timeliness was addressed in 8 (44%) articles, specificity in 4 (22%), learner reaction and reflection in 4 (22%), action plans in 3 (20%), and balancing reinforcing/corrective feedback in 2 (13%). Two articles did not address feedback, and 6 did not address aspects of high-quality feedback. The ACGME-recommended feedback systems of ADAPT (ask, discuss, ask, plan together) and R2C2 (relationship, reactions, content, and coach) were not reported in any of the studies. Conclusion Feedback is an essential component of graduate medical education and is required by the ACGME milestones assessment system. However, the core feedback components recommended by the ACGME are rarely included in the otolaryngology resident education literature.


feedback; interpersonal/communication skills; professionalism; resident education

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