title: A mixed-methods analysis of residents' written comments regarding their clinical supervisors.
abstract: BACKGROUND
  Clinical faculty require feedback to guide their development. Although written comments submitted by residents on clinical teaching assessments (CTAs) are potentially a rich source of feedback, little is known about their information quality.
  
  
  METHODS
  Naturalistic study involving thematic content analyses and concordancing of comments submitted in a sample of 1,601 CTAs.
  
  
  RESULTS
  About half of the CTAs contained comments, and most were related to perceived teacher strengths. Mixed-methods analysis of comments in the "areas for improvement" field revealed that rather than offering constructive criticism, residents vocalized their perceived learning needs. Specific, behaviorally based comments were uncommon.
  
  
  CONCLUSIONS
  In their present format, the written comments analyzed by this study seem unlikely to provide faculty with substantive feedback. Greater insight into residents' understanding of the CTA process, including motivational factors, is necessary if academic centers intend to maximize the formative value of CTAs.
authors.affiliation: Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, St Joseph’s Health Care, 268 Grosvenor Street, London, Ontario N6A 4V2. kathryn.myers@sjhc.london.on.ca
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Myers
authors.forename: Elaine M
authors.initials: EM
authors.lastname: Zibrowski
authors.forename: Lorelei
authors.initials: L
authors.lastname: Lingard
mesh_terms: D005180:Faculty, Medical; D030141:Feedback, Psychological; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency