Using a self-regulated learning-enhanced video feedback educational intervention to improve junior doctor prescribing

William Green, Rakesh Patel, Muhammad Shahzad, Helen Church, JOHN SANDARS

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2 Citations (Scopus)


Introduction Medical school graduates in the UK consistently report feeling underprepared for the task of prescribing when embarking on practice. The effective application of self-regulated learning (SRL) approaches and feedback on complex tasks are associated with improved outcomes in practice-based clinical skills. Aims This study aimed to investigate the effectiveness of an educational intervention using SRL-enhanced video feedback for improving the prescribing competency of junior doctors. Methods A prospective cohort study was designed to compare intervention and control cohorts of junior doctors undertaking simulated clinical encounters at the beginning and end of their four-month rotation through renal medicine. Results The improvement in prescribing competency for the intervention cohort was significant (p<0.001) with large effect size (d=1.42). Self-efficacy improved in both cohorts with large and medium effect sizes (control cohort p=0.026, r=0.64; intervention cohort p=0.083, d=0.55). Goal setting and self-monitoring skills improved in the intervention cohort only with medium effect size (p=0.096, d=0.53). Conclusions SRL-enhanced video feedback is effective for improving prescribing competency and developing SRL processes such as goal setting and self-monitoring skills in simulated clinical encounters. Further research is required to evaluate transferability to other clinical sub-speciality contexts and investigate the effectiveness of the intervention for improving prescribing in non-simulated settings
Original languageEnglish
JournalMedical Teacher
Issue number8
Early online date17 Apr 2020
Publication statusPublished - 17 Aug 2020


  • Deliberate Practice
  • Foundation Training
  • Junior Doctors
  • Patient Safety
  • Prescribing
  • Video-Enhanced Feedback
  • Self-regulated learning
  • patient safety
  • foundation training
  • prescribing
  • video-enhanced feedback
  • junior doctors

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