Abstract
Communication of feedback during teaching of practical procedures is a fine balance of structure and timing. We investigate if continuous in-task (IT) or end-task feedback (ET) is more effective in teaching spinal anaesthesia to medical students. End-task feedback was hypothesized to improve both short-term and long-term procedural learning retention as experiential learning promotes active learning after encountering errors during practice. Upon exposure to a 5-min instructional video, students randomized to IT or ET feedbacks were trained using a spinal simulator mannequin. A blinded expert tested the students using a spinal anaesthesia checklist in the short term (immediate) and long-term (average 4 months). Sixty-five students completed the training and testing. There were no differences in demographics of age or gender within IT or ET distributions. Both short-term and long-term learning retention of spinal anaesthesia ET feedback proved to be better (P < 0.01) than IT feedback. The time taken for ET students was shorter at long-term testing. End-task feedback improves both short-term and long-term procedural learning retention.
Similar content being viewed by others
References
Bligh, D. A. (1972). What’s the use of lectures?. Harmondsworth: Penguin Books.
Bosse, H. M., Mohr, J., Buss, B., Krautter, M., Weyrich, P., Herzog, W., et al. (2015). The benefit of repetitive skills training and frequency of expert feedback in the early acquisition of procedural skills. BMC Medical Education, 15, 22.
Brudner, S. N., Kethidi, N., Graeupner, D., Ivry, R. B., & Taylor, J. A. (2016). Delayed feedback during sensorimotor learning selectively disrupts adaptation but not strategy use. Journal of Neurophysiology, 115(3), 1499–1511.
Chang, J. Y., Chang, G. L., Chien, C. J. C., Chung, K. C., & Hsu, A. T. (2007). Effectiveness of two forms of feedback on training of a joint mobilization skill by using a joint translation simulator. Physical Therapy, 87(4), 418–430.
Hatala, R., Cook, D. A., Zendejas, B., Hamstra, S. J., & Brydges, R. (2014). Feedback for simulation-based procedural skills training: a meta-analysis and critical narrative synthesis. Advances in Health Sciences Education, 19, 251–272.
Kulik, J. A., & Kulik, C. L. C. (1979). College teaching. In P. L. Peterson & H. J. Walberg (Eds.), Research on teaching: Concepts, findings, and implications. Berkeley: McCutcheon.
Leppink, J., & van den Heuvel, A. (2015). The evolution of cognitive load theory and its application to medical education. Perspectives on Medical Education, 4(3), 119–127.
McKinney, K., & Graham-Buxton, M. (1993). The use of collaborative learning groups in the large class: Is it possible? Teaching Sociology, 21, 403–408.
Nabilou, B., Feizi, A., & Seyedin, H. (2015). Patient safety in medical education: Students’ perceptions, knowledge and attitudes. PLoS ONE, 10(8), e0135610.
Rau, W., & Heyl, B. S. (1990). Humanizing the college classroom: Collaborative learning and social organization among students. Teaching Sociology, 18, 141–155.
Rodriguez-Paz, J. M., Kennedy, M., Salas, E., Wu, A. W., Sexton, J. B., Hunt, E. A., et al. (2009). Education and training: Beyond “see one, do one, teach one”: Toward a different training paradigm. Quality and Safety in Health Care, 18, 163–168.
Schartel, S. A. (2012). Giving feedback—An integral part of education. Best Practice and Research Clinical Anaesthesiology, 26(1), 77–87.
Sinha, N., & Glass, A. L. (2015). Delayed, but not immediate, feedback after multiple-choice questions increases performance on a subsequent short-answer, but not multiple-choice, exam: Evidence for the dual-process theory of memory. Journal of General Psychology, 142(2), 118–134.
Smith, D. G. (1977). College classroom interactions and critical thinking. Journal of Educational Psychology, 69, 180–190.
Stanford Medicine. (2013). Retrieved April 15, 2013 from http://ether.stanford.edu/Ortho/Spinal_Anesthesia_Evaluation.html
Stanford Anesthesia. (2013). Spinal anesthesia procedural checklist video. Retrieved April 25, 2013 from https://www.youtube.com/watch?v=eblMcptvcAo.
Van de Ridder, J. M., Stokking, K. M., McGaghie, W. C., & Cate, O. T. (2008). What is feedback in clinical education. Medical Education, 42(2), 189–197.
Wagner, R. W. (1970). Edgar Dale: Professional. Theory into Practice, 9(2), 89–95.
Walsh, C. M., Ling, S. C., Wang, C. S., & Carnahan, H. (2009). Concurrent versus terminal feedback: It may be better to wait. Academic Medicine: Journal of the Association of American Medical Colleges, 84(10 Suppl), S54–S57.
Watling, C., Driessen, E., van der Vleuten, C. P. M., Vanstone, M., & Lingard, L. (2012). Understanding responses to feedback: The potential and limitations of regulatory focus theory. Medical Education, 46(6), 593–603.
Wulf, G., & Shea, C. (2004). Understanding the role of augmented feedback: The good, the bad, and the ugly. In A. Williams & N. Hodges (Eds.), Skill acquisition in sport: Research, theory and practice (1st ed., pp. 121–144). London: Routledge.
Xeroulis, G. J., Park, J., Moulton, C. A., Reznick, R. K., LeBlanc, V., & Dubrowski, A. (2007). Teaching suturing and knot-tying skills to medical students: A randomized controlled study comparing computer-based video instruction and (concurrent and summary) expert feedback. Surgery, 141(4), 442–449.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lean, L.L., Hong, R.Y.S. & Ti, L.K. End-task versus in-task feedback to increase procedural learning retention during spinal anaesthesia training of novices. Adv in Health Sci Educ 22, 713–721 (2017). https://doi.org/10.1007/s10459-016-9703-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10459-016-9703-8