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Table 2 The students’, peers’ and clinical supervisors’ evaluation surveys

From: Multisource feedback in medical students’ workplace learning in primary health care

 

Student self-evaluation

Peer evaluation

Clinical supervisor evaluation

1

How was your experience of receiving written feedback?

How was your experience evaluating your peer’s performance during the patient encounter?

How was your experience of providing written feedback?

2

How did you experience evaluating your performance of the patient encounter?

 

How was your experience using the feedback in your clinical tuition?

3

Did your self-evaluation differ in relation to the other participants’ feedback? Yes/No If yes, in what way?

 

Did your feedback differ in relation to the student self-evaluation and to the other participants’ feedback? Yes/No If yes, in what way?

4

The multi-source feedback provided valuable information regarding my ability to apply patient-centred communication.1– 4 + not relevant

Providing feedback to peer helped me to further clarify the importance of patient-centred communication.1– 4 + not relevant

The multi-source feedback and the student’s self-evaluation provided valuable information regarding the student’s ability to apply patient-centred communication.1– 4 + not relevant

5

Please give examples of how the multi-source feedback clarified your ability to apply patient-centred communication.

Regarding question four, please give examples in what way?

Please exemplify how the multi-source feedback clarified the student’s ability to apply patient-centred communication.

6

The multi-source feedback provided guidance for future training of clinical skills. 1– 4 + not relevant

Providing feedback to peer gave me guidance regarding how I could train and develop clinical skills.1– 4 + not relevant

The multi-source feedback and student’s self-evaluation provided guidance for the student’s future training and development of clinical skills. 1– 4 + not relevant

7

Please give examples of how the multi-source feedback facilitated your future training regarding clinical skills.

Regarding question six, please give examples in what way?

Please exemplify how the multi-source feedback facilitated the identification of student's need for future training regarding clinical skills.

8

The multi-source feedback helped to visualise my pedagogical assignment during the dialogue with the patient. 1– 4 + not relevant

To provide feedback helped me to visualise the pedagogical assignment during the dialogue with the patient.1– 4 + not relevant

The multi-source feedback and student’s self-evaluation helped to visualise the student’s pedagogical assignment during the dialogue with the patient.1– 4 + not relevant

9

Please give examples of how the multi-source feedback clarified your pedagogical assignment in the dialogue with the patient.

Regarding question eight, please give examples in what way?

Please exemplify how the multi-source feedback clarified the student’s pedagogical assignment in the dialogue with the patient.

10

Describe the major outcome from performing self-evaluation and receiving feedback.

Describe the major outcome of providing feedback.

Describe the major outcome of giving and using the feedback in your pedagogical assignment as a teacher.

11

Please add if you have further comments.

Please add if you have further comments.

Please add if you have further comments.