The process of feedback in an OBE tends to serve as a backbone in assessing performance of students. The objective of this research was to determine the barriers to the process of feedback from both faculty and students’ point of view in an outcome based education framework at Al-Tibri Medical College, Karachi, Pakistan. For this purpose, a cross sectional analytical study was carried out at Department of Medical Education for a period of six months (January 2024 to June 2024). All faculty and undergraduate medical students of MBBS were enrolled according to inclusion and exclusion criteria. SPSS version 23.0 was used for data analysis. To compute association of questions with faculty and students, chi-square test was applied keeping p<0.05 as statistically significant. 350 participants (64.3% female, mostly aged 18-25) were included. They identified significant barriers to effective feedback in medical education. Key issues included fear of negative comments (50%), time constraints (48.6%), and inadequate faculty training (68.6%). Faculty-student response comparisons revealed statistically significant differences in areas like faculty involvement and difficulty understanding comments. Despite differences, both groups agreed on the importance of regular feedback. These findings highlight systemic challenges, emphasizing the need for better training, timely feedback, and a supportive environment for effective communication. The study revealed crucial insights into the barriers to the feedback process at ATMC, emphasizing the need for structured feedback training for faculty, timely and comprehensible feedback for students, and addressing the fear of negative comments.
Published in | American Journal of Medical Education (Volume 1, Issue 1) |
DOI | 10.11648/j.mededu.20250101.12 |
Page(s) | 13-19 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Feedback, Health Professions Education, Outcome Based Education
Variables | Frequency | Percentage | |
---|---|---|---|
Gender | Male | 125 | 35.7% |
Female | 225 | 64.3% | |
Faculty / Year of MBBS | Faculty | 75 | 21.4% |
1st Year | 25 | 7.1% | |
2nd Year | 65 | 18.6% | |
3rd Year | 70 | 20% | |
4th Year | 45 | 12.9% | |
5th Year | 70 | 20% | |
Age Group (Years) | 18-25 | 265 | 75.7% |
26-50 | 70 | 20% | |
>51 | 15 | 4.3% |
Questions | Strongly Disagree (%) | Disagree (%) | Neutral (%) | Agree (%) | Strongly Agree (%) |
---|---|---|---|---|---|
Feedback is not important for learning | 120 (34.3) | 155 (44.3) | 35 (10) | 15 (4.3) | 25 (7.1) |
Giving or Receiving feedback consumes a lot of time | 45 (12.9) | 170 (48.6) | 70 (20) | 65 (18.6) | 0 |
Students are afraid of negative comments | 10 (2.9) | 50 (14.3) | 65 (18.6) | 175 (50) | 50 (14.3) |
Faculty should be trained for giving feedback | 0 | 15 (4.3) | 20 (5.7) | 240 (68.6) | 75 (21.4) |
Faculty should be actively involved in feedback process | 0 | 0 | 10 (2.9) | 215 (61.4) | 125 (35.7) |
Feedback is not important due to Increased workload | 90 (25.7) | 190 (54.3) | 30 (8.6) | 20 (5.7) | 20 (5.7) |
Comments are difficult to understand by students | 15 (4.3) | 150 (42.9) | 100 (28.6) | 65 (18.6) | 20 (5.7) |
Students find it boring, irrelevant and long | 30 (8.6) | 105 (30) | 110 (31.4) | 85 (24.3) | 20 (5.7) |
Feedback is given after a long time | 10 (2.9) | 95 (27.1) | 70 (20) | 145 (41.4) | 30 (8.6) |
Its difficult to find appropriate method for providing feedback | 0 | 145 (41.4) | 90 (25.7) | 95 (27.1) | 20 (5.7) |
Language barrier is a hurdle | 15 (4.3) | 145 (41.4) | 75 (21.4) | 105 (30) | 10 (2.9) |
Feedback is not given at all | 45 (12.9) | 160 (45.7) | 90 (25.7) | 35 (10) | 20 (5.7) |
Regular feedback is not given | 05 (1.4) | 85 (24.3) | 65 (18.6) | 170 (48.6) | 25 (7.1) |
Questions | Faculty Response | Student Response | P-value |
---|---|---|---|
Q.1 | 1.94 ± 1.17 | 2.09 ± 1.11 | 0.18 |
Q.2 | 2.59 ± 0.92 | 2.40 ± 0.94 | 0.1 |
Q.3 | 3.53 ± 0.92 | 3.6 ± 1.02 | 0.55 |
Q.4 | 4.2 ± 0.62 | 4.04 ± 0.67 | 0.06 |
Q.5 | 4.53 ± 0.61 | 4.26 ± 0.48 | <0.001 |
Q.6 | 2.06 ± 1.22 | 2.13 ± 0.97 | 0.003 |
Q.7 | 3.06 ± 1.06 | 2.7 ± 0.95 | 0.003 |
Q.8 | 3.24 ± 0.81 | 2.77 ± 1.1 | <0.001 |
Q.9 | 2.94 ± 0.94 | 3.36 ± 1.05 | 0.001 |
Q.10 | 2.88 ± 0.84 | 3.00 ± 0.99 | 0.11 |
Q.11 | 2.82 ± 0.99 | 2.87 ± 0.99 | 0.72 |
Q.12 | 2.47 ± 1.15 | 2.51 ± 0.99 | 0.02 |
Q.13 | 3.06 ± 0.88 | 3.45 ± 0.98 | 0.001 |
ATMC | Al-tibri Medical College |
MBBS | Bachelor of Medicine and Bachelor of Surgery |
OBE | Outcome Based Education |
SOPs | Standard Operating Procedures |
SPSS | Statistical Package for Social Science |
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APA Style
Tariq, A. B., Tauqir, O., Sail, Rajab, S., Yasir, M., et al. (2025). Barriers to Feedback Process; Faculty and Students Point of View in an Outcome Based Education Framework at Al-Tibri Medical College. American Journal of Medical Education, 1(1), 13-19. https://doi.org/10.11648/j.mededu.20250101.12
ACS Style
Tariq, A. B.; Tauqir, O.; Sail; Rajab, S.; Yasir, M., et al. Barriers to Feedback Process; Faculty and Students Point of View in an Outcome Based Education Framework at Al-Tibri Medical College. Am. J. Med. Educ. 2025, 1(1), 13-19. doi: 10.11648/j.mededu.20250101.12
@article{10.11648/j.mededu.20250101.12, author = {Anas Bin Tariq and Omaimah Tauqir and Sail and Sabah Rajab and Maryam Yasir and Mirza Sikandar Baig}, title = {Barriers to Feedback Process; Faculty and Students Point of View in an Outcome Based Education Framework at Al-Tibri Medical College }, journal = {American Journal of Medical Education}, volume = {1}, number = {1}, pages = {13-19}, doi = {10.11648/j.mededu.20250101.12}, url = {https://doi.org/10.11648/j.mededu.20250101.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.mededu.20250101.12}, abstract = {The process of feedback in an OBE tends to serve as a backbone in assessing performance of students. The objective of this research was to determine the barriers to the process of feedback from both faculty and students’ point of view in an outcome based education framework at Al-Tibri Medical College, Karachi, Pakistan. For this purpose, a cross sectional analytical study was carried out at Department of Medical Education for a period of six months (January 2024 to June 2024). All faculty and undergraduate medical students of MBBS were enrolled according to inclusion and exclusion criteria. SPSS version 23.0 was used for data analysis. To compute association of questions with faculty and students, chi-square test was applied keeping p<0.05 as statistically significant. 350 participants (64.3% female, mostly aged 18-25) were included. They identified significant barriers to effective feedback in medical education. Key issues included fear of negative comments (50%), time constraints (48.6%), and inadequate faculty training (68.6%). Faculty-student response comparisons revealed statistically significant differences in areas like faculty involvement and difficulty understanding comments. Despite differences, both groups agreed on the importance of regular feedback. These findings highlight systemic challenges, emphasizing the need for better training, timely feedback, and a supportive environment for effective communication. The study revealed crucial insights into the barriers to the feedback process at ATMC, emphasizing the need for structured feedback training for faculty, timely and comprehensible feedback for students, and addressing the fear of negative comments. }, year = {2025} }
TY - JOUR T1 - Barriers to Feedback Process; Faculty and Students Point of View in an Outcome Based Education Framework at Al-Tibri Medical College AU - Anas Bin Tariq AU - Omaimah Tauqir AU - Sail AU - Sabah Rajab AU - Maryam Yasir AU - Mirza Sikandar Baig Y1 - 2025/06/30 PY - 2025 N1 - https://doi.org/10.11648/j.mededu.20250101.12 DO - 10.11648/j.mededu.20250101.12 T2 - American Journal of Medical Education JF - American Journal of Medical Education JO - American Journal of Medical Education SP - 13 EP - 19 PB - Science Publishing Group UR - https://doi.org/10.11648/j.mededu.20250101.12 AB - The process of feedback in an OBE tends to serve as a backbone in assessing performance of students. The objective of this research was to determine the barriers to the process of feedback from both faculty and students’ point of view in an outcome based education framework at Al-Tibri Medical College, Karachi, Pakistan. For this purpose, a cross sectional analytical study was carried out at Department of Medical Education for a period of six months (January 2024 to June 2024). All faculty and undergraduate medical students of MBBS were enrolled according to inclusion and exclusion criteria. SPSS version 23.0 was used for data analysis. To compute association of questions with faculty and students, chi-square test was applied keeping p<0.05 as statistically significant. 350 participants (64.3% female, mostly aged 18-25) were included. They identified significant barriers to effective feedback in medical education. Key issues included fear of negative comments (50%), time constraints (48.6%), and inadequate faculty training (68.6%). Faculty-student response comparisons revealed statistically significant differences in areas like faculty involvement and difficulty understanding comments. Despite differences, both groups agreed on the importance of regular feedback. These findings highlight systemic challenges, emphasizing the need for better training, timely feedback, and a supportive environment for effective communication. The study revealed crucial insights into the barriers to the feedback process at ATMC, emphasizing the need for structured feedback training for faculty, timely and comprehensible feedback for students, and addressing the fear of negative comments. VL - 1 IS - 1 ER -