How does feedback from patients impact upon healthcare student clinical skill development and learning? A systematic review
Open accessAbstract
BACKGROUND: A key feature of health professionals' training, irrespective of discipline, is the acquisition and application of clinical and communication skills. Despite this, little is known about the potential role of patient feedback on this process. This systematic review aimed to answer the question: How does feedback from patients impact upon healthcare student clinical skill development and learning? DESIGN: Systematic review of published literature. METHODS: Electronic databases were searched for studies that explored the effects of patient feedback on student learning and were published before March 2016. Eligible articles underwent methodological evaluation using the McMaster University Critical Evaluation Forms and data extraction. RESULTS: A total of 237 articles were retrieved following searches of electronic databases and hand searches of reference lists. Twelve (7 quantitative, 2 qualitative, 3 mixed methods) studies met the inclusion criteria. Eleven studies reported that patient feedback improved students' clinical skills. CONCLUSION: Minimal research has explored the impact of patient feedback on student learning. The research to date suggests that direct feedback from patients may be beneficial for the development of students' communication and clinical skills; however, the wide variety of evaluation methods and the lack of validated tools for patients to provide feedback suggest that further exploration is warranted.
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Continuous assessment methods like structured observations during rotations provide opportunities for real-time feedback and immediate skill refinement.
“Similarly, continuous assessment methods like structured observations during rotations provide opportunities for real-time feedback and immediate skill refinement, ensuring that students are consistently developing and applying their competencies in practical settings [40,41].”
From Formative assessment and feedback in medical education: A practical guide: AMEE Guide No. 189 (2026) · cites this paper as [41]
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- Authors
- Finch, E., Lethlean, J., Rose, T., Fleming, J., Theodoros, D., Cameron, A., Coleman, A., Copland, D., & McPhail, S. M.
- Affiliations
- The University of Queensland (AU)
- Princess Alexandra Hospital (AU)
- Queensland University of Technology (AU)
- Corresponding author
- Finch, Emma
- ORCID
- Venue
- Medical Teacher
- Publisher
- Informa UK Limited
- Published
- 2017-11-26
- Volume
- 40
- Issue
- 3
- Pages
- 244-252
- ISSN
- 0142-159X (ISSN-L)
- 1466-187X
- OpenAlex
- W2769476086
- Cited by
- 25
- References
- 23
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 9 · 2023: 5 · 2022: 2 · 2021: 1 · 2019: 2 · 2018: 2
- FWCI
- 0.18
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Medical Teacher (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Figshare (cc-by)
- Funders
- The University of Queensland
- National Health and Medical Research Council
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- patient feedback, health professions students, clinical skills development, student learning, communication skills, clinical teaching, feedback tools, medical education
- MeSH terms
- Formative Feedback, Clinical Competence, Health Personnel, Humans, Learning, Patient Participation
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