title: Delivery and use of individualised feedback in large class medical teaching.
abstract: BACKGROUND
  Formative feedback that encourages self-directed learning in large class medical teaching is difficult to deliver. This study describes a new method, blueprinted feedback, and explores learner's responses to assess its appropriate use within medical science teaching.
  
  
  METHODS
  Mapping summative assessment items to their relevant learning objectives creates a blueprint which can be used on completion of the assessment to automatically create a list of objectives ranked by the attainment of the individual student. Two surveys targeted medical students in years 1, 2 and 3. The behaviour-based survey was released online several times, with 215 and 22 responses from year 2, and 187, 180 and 21 responses from year 3. The attitude-based survey was interviewer-administered and released once, with 22 responses from year 2 and 3, and 20 responses from year 1.
  
  
  RESULTS
  88-96% of learners viewed the blueprinted feedback report, whilst 39% used the learning objectives to guide further learning. Females were significantly more likely to revisit learning objectives than males (p = 0.012). The most common reason for not continuing learning was a 'hurdle mentality' of focusing learning elsewhere once a module had been assessed.
  
  
  CONCLUSIONS
  Blueprinted feedback contains the key characteristics required for effective feedback so that with further education and support concerning its use, it could become a highly useful tool for the individual and teacher.
authors: Plymouth University Peninsula Schools of Medicine & Dentistry, Portland Square, Drake Circus, Plymouth, Devon PL4 8AA, UK. steven.burr@pms.ac.uk
authors: Steven A
authors: SA
authors: Burr
authors: Elizabeth
authors: E
authors: Brodier
authors: Simon
authors: S
authors: Wilkinson
mesh_terms: D004501:Education, Medical / Q000379:methods* / Q000592:standards; D004521:Educational Measurement / Q000379:methods; D005246:Feedback; D005260:Female; D006801:Humans; D008297:Male; D013337:Students, Medical / Q000523:psychology; D013663:Teaching / Q000379:methods*
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