Uncovering the unknown: A grounded theory study exploring the impact of self-awareness on the culture of feedback in residency education

Subha Ramani*, Karen Konings, Karen V. Mann, Cees van der Vleuten

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

22 Citations (Web of Science)
205 Downloads (Pure)

Abstract

Aim: Self-assessment and reflection are essential for meaningful feedback. We aimed to explore whether the well-known Johari window model of self-awareness could guide feedback conversations between faculty and residents and enhance the institutional feedback culture.Methods: We had previously explored perceptions of residents and faculty regarding sociocultural factors impacting feedback. We re-analyzed data targeting themes related to self-assessment, reflection, feedback seeking and acceptance, aiming to generate individual and institutional feedback strategies applicable to each quadrant of the window.Results: We identified the following themes for each quadrant: (1) Behaviors known to self and others - Validating the known; (2) Behaviors unknown to self but known to others - Accepting the blind; (3) Behaviors known to self and unknown to others - Disclosure of hidden; and (4) Behaviors unknown to self and others - Uncovering the unknown. Normalizing self-disclosure of limitations, encouraging feedback seeking, training in nonjudgmental feedback and providing opportunities for longitudinal relationships could promote self-awareness, ultimately expanding the open quadrant of the Johari window.Conclusions: The Johari window, a model of self-awareness in interpersonal communications, could provide a robust framework for individuals to improve their feedback conversations and institutions to design feedback initiatives that enhance its quality and impact.

Original languageEnglish
Pages (from-to)1065-1073
Number of pages9
JournalMedical Teacher
Volume39
Issue number10
DOIs
Publication statusPublished - 2017

Keywords

  • MULTISOURCE FEEDBACK
  • MEDICAL-EDUCATION
  • SEEKING BEHAVIOR
  • PERFORMANCE FEEDBACK
  • LEARNING-ENVIRONMENT
  • MODEL
  • CREDIBILITY
  • PERCEPTIONS
  • COMPETENCE
  • REFLECTION

Cite this