The SOAP Feedback Training Program

Authors

Binny Chokshi, Department of Pediatrics, Uniformed Services University of the Health Sciences, Washington, District of Colombia, USA.
Alexis Battista, The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, USA.
Jerusalem Merkebu, The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, USA.
Shana Hansen, Center for Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Benjamin Blatt, Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, District of Colombia, USA.
Joseph Lopreiato, Department of Pediatrics, Uniformed Services University of the Health Sciences, Washington, District of Colombia, USA.

Document Type

Journal Article

Publication Date

8-30-2023

Journal

The clinical teacher

DOI

10.1111/tct.13611

Abstract

BACKGROUND: Accessible and efficient opportunities for health professional faculty to hone feedback skills are limited. In addition, feedback models to apply to the objective structured clinical examination (OSCE) setting are lacking. APPROACH: Annually, paediatric interns from Children's National Hospital and Walter Reed National Military Medical Center participate in an OSCE, which includes faculty observation and immediate feedback to trainees. In 2018, we incorporated the subjective, objective, assessment, plan (SOAP) Feedback Training Program during 20 min of the pre-OSCE faculty orientation. The SOAP Feedback Training Program introduced the SOAP feedback model (subjective, objective, assessment, plan), facilitated practice in pairs and distributed a cognitive aid referencing the model. We evaluated the quality of faculty feedback exchanges during the 2018 OSCE via retrospective video review using the Direct Observation of Clinical Skills Feedback Scale (DOCS-FBS). We compared the results to the 2015 initial evaluation and used focus groups to understand how and why faculty feedback changed. EVALUATION: Comparison of the initial evaluation to the post-SOAP Feedback Training Program intervention data using a Wilcoxon signed rank test showed statistically significant improvement in six of eight feedback items on the DOCS-FBS. Causal coding of focus group transcripts revealed that the SOAP Feedback Training Program evoked affective responses, reinforced prior practice in feedback delivery, improved feedback organisation and increased feedback delivery preparation. IMPLICATIONS: The SOAP Feedback Training Program is an effective intervention to teach the SOAP feedback model and improve faculty feedback quality in an OSCE setting. It is efficient and low resource, facilitating its potential use in settings beyond the OSCE.

APA Citation

Chokshi, Binny; Battista, Alexis; Merkebu, Jerusalem; Hansen, Shana; Blatt, Benjamin; and Lopreiato, Joseph, "The SOAP Feedback Training Program" (2023). GW Authored Works. Paper 3192.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/3192

Department

Medicine