44 Chapter 3 Abstract Objective This pilot study tested a tool that collects patient feedback on trainees’ skills in shared decisionmaking (SDM) and general consultation. It also examined trainees’ views on SDM and patient feedback, exploring potential skills improvement through reflexive practice. Methods After their consultation, patients were asked to rate residents – doctors in the process of specialized medical training – in a six-item questionnaire. The questionnaire included ‘CollaboRATE’ (a validated tool to test SDM), the ‘Net Promoter Score’, and two open-ended questions. Questionnaire results were described quantitatively and tested for differences. Results were presented to residents at three intervals. Residents were interviewed afterward. Interview transcripts were thematically analyzed. Results Eleven residents specializing in Obstetrics and Gynecology participated. Out of 1651 sent questionnaires, 399 were returned (response rate 24%). Questionnaire results showed no differences when comparing residents’ or group scores over time. Interview results were thematically analyzed using the reflexivity framework. Residents were able to reflect on their SDM skills. They valued receiving patient feedback yet were able to formulate few learning points from it. Conclusion Although skills improvement was not evident, patient feedback still has potential benefits. Practice Implications Patient feedback should be combined with facilitated reflections at timely intervals to reinforce behavior change. Supervisors play an important role in facilitating reflections with residents.
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