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

    Research output: Contribution to journalArticle (journal)peer-review

    9 Citations (Scopus)
    126 Downloads (Pure)


    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
    Pages (from-to)886-895
    Number of pages10
    JournalMedical Teacher
    Issue number8
    Early online date17 Apr 2020
    Publication statusPublished - 2 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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