Learning from our mistakes: Exploring the tension between productive failure and demonstrating competence.
Summary
Study purpose
The purpose of this study is to look at Developmental Pediatrics Fellows, recently graduated Developmental Pediatricians and Experienced Developmental Pediatricians (5 or more years in practice) and their experiences with learning from failure. We seek to explore what opportunities exist to learn from failure within the Competency Based Medical Education Curriculum (CBME). We hope to better understand if there are any specific elements of CBME that promote or constraint the ability to make mistakes and learn from these experiences. This study will provide us with information to improve how we allow for these learning opportunities and how to enhance current medical education curricula. This project has been funded by the Pediatric Consultants Educational Scholarship Grant.
Duration
It is expected that the study including recruitment and data collection will last 6 months. Although participants will only be asked to do a single interview lasting 45-60 minutes.
Study procedures
Developmental Pediatrics Fellows, recently graduated Developmental Pediatricians and Experienced Developmental Pediatricians (5 or more years in practice) are being invited to participate in this interview-based study. You are invited to participate in an audio-recorded interview regarding your experience learning from your mistakes in the clinical learning environment. During the interview, you will be asked questions about experiences you have had with making mistakes in the clinical learning environment and what impact this had on the overall learning experience. You will also be asked questions about how the current Competency Based Medical Education curriculum impacts your ability to learn from making mistakes. The interview will last between 45-60 minutes and will be conducted in person or virtually using the Zoom Healthcare Platform at a time convenient for you. The taped interview will be transcribed. No names will appear in the transcripts and audiotapes will be destroyed 7 years post study completion as per the research document retention protocol.
Risks
Participation in this study may involve risks to you. These risks are described in detail in the informed consent form (PDF).
The risks you are most likely to experience are:
- that participants may feel uncomfortable or become emotional while answering questions given their own personal experience making mistakes. Participants can choose not to answer a question and can withdraw from the study at any time.
The most serious risks are:
- There are no serious risks in participating in this study
Benefits
We do not know if you will benefit from participation in this study, but researchers hope that this study will fulfil its purpose and benefit others in future.
Researcher(s)
Principal Investigator:
Dr. Anne Kawamura, Developmental Pediatrician, University of Toronto, Holland Bloorview Kids Rehabilitation Hospital Contact Number: (416) 425-6220 x 3408, Email: akawamura@hollandbloorview.ca
Co-Investigator(s):
Dr. Madison Links, Developmental Pediatrics Fellow, Department of Pediatrics, University of Toronto, Holland Bloorview Kids Rehabilitation Hospital Contact Number: (416) 425-6220 x 3905, Email: mlinks@hollandbloorview.ca
Dr. Jessica Lynch, Developmental Pediatrician, University of Toronto, Holland Bloorview Kids Rehabilitation Hospital Contact number: (416) 425-6220 x 3909, Email: jlynch@hollandbloorview.ca
Call to action
You will be asked to participate in an interview. A study team member will meet with you at Holland Bloorview Kids Rehabilitation Hospital or via virtual appointment using the Zoom Healthcare Platform to ask you questions about experiences you have had with making mistakes in the clinical learning environment and what impact this had on the overall learning experience. You will also be asked questions about how the current Competency Based Medical Education curriculum impacts your ability to learn from making mistakes. The interview will take about 45-60 minutes to complete.
The interview will be audio recorded. After the interview, the audio recording will be transcribed. Transcribing means that someone listens to the audio and writes down all the words that are said. The written words will be analyzed by the research team. The transcription will be done by a professional transcription service. The audio version will be shared with the transcription agency for the purposes of transcribing the audio content to text for data collection, we will not share your name or any other identifying information. However, your voice will be heard and may be recognizable. The audio recording will be kept for the required research document retention period which is 7 years after study completion. The transcriptions and audio recordings will be destroyed 7 years post study completion.
We will send recordings to a professional transcription service. We will not send any information that could identify you. The de-identified audio recordings with be password protected and uploaded onto a secure server, Moutain Duck. The transcriptionist will have access to the server and therefore can access the de-identified audio recordings. The transcriptionist will only have access to this service and the de-identified audio recordings until all the transcription process is completed.
Who can participate
At Holland Bloorview, we will invite up to 22 individuals to participate in this study.
Funding agency
Pediatric Consultants Educational Scholarship Grant.
What's involved
Interviews:
During the interview, some of the questions we ask you may make you feel worried, stressed and/or sad or upset. If this happens, you may skip questions, take a break or stop answering at any time.
If your answers show us that there is a serious risk of harm to yourself or other people, we have to tell somebody about it. We will do this to protect you or another person. If we feel that you need help right away because you took part in this research study we will work with trained staff to get you the help you need.
Audio Recording:
Your name will not be part of the audio recording. Even though we won’t use your name, your voice may still be recognizable as your voice. If anyone talks about things specific to you during the recording (like your name, or where you live), these will be removed from the written version.
Inconvenience of time:
Being in this study will take up your time. This study involves one interview session that will last approximately 45-60 minutes.
Confidentiality risk:
The study team will work to protect your information, but there is still a chance that your information may be released by accident. The study team may be legally required to disclose certain information in some circumstances, such as (among others): if we learn of child abuse, if someone discloses suicidal intentions (killing themselves), if someone discloses that they suffer from a communicable disease, or if the court orders production of the study papers.
Interested in participating
We would like to invite you to participate in our research study. This consent form (PDF) explains the research study and what we will ask you to do. This consent form (PDF) may have words that you do not understand. Please ask the study staff to explain anything you do not understand. You may take your time to think about the study and if you want to participate or not. Please ask any questions you may have. If you want to talk about the study with family, friends, your doctor, a health care professional, or any members of your community that you trust, this is okay. It is your choice if you want to participate or not. You do not have to be in this study.
Additional information
If you have any questions during your participation in this research study you can contact the Principal Investigator, Dr. Anne Kawamura at (416) 425-6220 x 3408 or the other research team members listed at the beginning of this consent form (PDF).
This study has been reviewed by the Holland Bloorview Research Ethics Board (REB). The REB is a group of people who help make sure that research studies are done in a way that protects the rights and wellbeing of the research participants that take part. The REB is not part of the study team. If you have any questions about your rights as a research participant, please contact the Research Ethics Office email: researchethicsboard@hollandbloorview.ca or at 416 425-6220 x 3161 during business hours.
