How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysis

Abstract Background Observation during clerkships is challenging for clinical supervisors. Using a video feedback system (VFS) to record consultations with a patient, facilitates asynchronous feedback. Within this system it is also possible to add annotations, linked to a timeline. Learners are faci...

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Main Authors: Ellemieke Maria Cornelia Rasenberg, Guus Maria Brand, Bernardus Petrus Thoonen Ellemieke, Bernardus Petrus Aloysius Thoonen
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07405-2
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author Ellemieke Maria Cornelia Rasenberg
Guus Maria Brand
Bernardus Petrus Thoonen Ellemieke
Bernardus Petrus Aloysius Thoonen
author_facet Ellemieke Maria Cornelia Rasenberg
Guus Maria Brand
Bernardus Petrus Thoonen Ellemieke
Bernardus Petrus Aloysius Thoonen
author_sort Ellemieke Maria Cornelia Rasenberg
collection DOAJ
description Abstract Background Observation during clerkships is challenging for clinical supervisors. Using a video feedback system (VFS) to record consultations with a patient, facilitates asynchronous feedback. Within this system it is also possible to add annotations, linked to a timeline. Learners are facilitated to share both recordings and annotations with others, who can provide feedback at a self-selected moment. Methods A qualitative document analysis on the content of annotations from 23 medical students has been conducted to explore how they use the annotation option in a VFS during their first clerkship. Thematic analysis was chosen as an inductive strategy. Results Thirteen students opted to share their videos for feedback, while ten chose not to. The main themes were “content”, “labeling video fragments” and “responses to shared annotations”. Subthemes within the theme “Content” were ‘Typing’, ‘Empathy’, ‘Directing’ and ‘Communication and communications skills’. Students were critical of themselves, but tempered their feedback by mitigating language. Many students made concise notes to their recordings, without adding questions or interpretations. The provided feedback was carefully phrased and alternatives were formulated. Conclusion Students apply “feedback principles” as they have learned from prior training. Alternatives were carefully constructed. It seems they also assess themselves using short notes similar to items of assessments scales. Their tendency to temper their feedback and not always share the videos with others, may indicate the need for a safe learning environment, as a prerequisite for using a VFS. Considering the diligence in feedback provision and varied topics addressed, the use of a VFS seems to be a good way to provide asynchronous feedback on communication skills during clerkships, offering instructors increased observation opportunities and the chance to facilitate peer feedback.
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spelling doaj-art-bc1b417e31fc4d0ea149fabf03b0ba9a2025-08-20T03:27:09ZengBMCBMC Medical Education1472-69202025-05-0125111210.1186/s12909-025-07405-2How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysisEllemieke Maria Cornelia Rasenberg0Guus Maria Brand1Bernardus Petrus Thoonen Ellemieke2Bernardus Petrus Aloysius Thoonen3Department of Primary and Community Care, Radboud University Medical CenterMedical School, Radboud UniversityDepartment of Primary and Community Care, Radboud University Medical CenterDepartment of Primary and Community Care, Radboud University Medical CenterAbstract Background Observation during clerkships is challenging for clinical supervisors. Using a video feedback system (VFS) to record consultations with a patient, facilitates asynchronous feedback. Within this system it is also possible to add annotations, linked to a timeline. Learners are facilitated to share both recordings and annotations with others, who can provide feedback at a self-selected moment. Methods A qualitative document analysis on the content of annotations from 23 medical students has been conducted to explore how they use the annotation option in a VFS during their first clerkship. Thematic analysis was chosen as an inductive strategy. Results Thirteen students opted to share their videos for feedback, while ten chose not to. The main themes were “content”, “labeling video fragments” and “responses to shared annotations”. Subthemes within the theme “Content” were ‘Typing’, ‘Empathy’, ‘Directing’ and ‘Communication and communications skills’. Students were critical of themselves, but tempered their feedback by mitigating language. Many students made concise notes to their recordings, without adding questions or interpretations. The provided feedback was carefully phrased and alternatives were formulated. Conclusion Students apply “feedback principles” as they have learned from prior training. Alternatives were carefully constructed. It seems they also assess themselves using short notes similar to items of assessments scales. Their tendency to temper their feedback and not always share the videos with others, may indicate the need for a safe learning environment, as a prerequisite for using a VFS. Considering the diligence in feedback provision and varied topics addressed, the use of a VFS seems to be a good way to provide asynchronous feedback on communication skills during clerkships, offering instructors increased observation opportunities and the chance to facilitate peer feedback.https://doi.org/10.1186/s12909-025-07405-2Video feedback systemAnnotationsCommunication skillsPeer feedbackRecording consultationsMedical students
spellingShingle Ellemieke Maria Cornelia Rasenberg
Guus Maria Brand
Bernardus Petrus Thoonen Ellemieke
Bernardus Petrus Aloysius Thoonen
How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysis
BMC Medical Education
Video feedback system
Annotations
Communication skills
Peer feedback
Recording consultations
Medical students
title How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysis
title_full How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysis
title_fullStr How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysis
title_full_unstemmed How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysis
title_short How do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients; a qualitative document analysis
title_sort how do undergraduate medical students use the annotation option of a video feedback system when recording consultations with real patients a qualitative document analysis
topic Video feedback system
Annotations
Communication skills
Peer feedback
Recording consultations
Medical students
url https://doi.org/10.1186/s12909-025-07405-2
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