Study 4: Co-creation of a fit-for-purpose Feedback Toolkit for clinical clerkships.

Co-creation led to the development of a prototype of a feedback toolkit, which was piloted in two dyads of clinical-teacher students in a seven-week physiotherapy clerkship. Weekly audio diaries were collected from participants and analyzed using content analysis. Data from the co-creation sessions informed the development of a feedback toolkit specifically designed for the clinical teacher–student dyad.

The toolkit was built upon three design principles: (1) Contributes to a trustful relationship based on continuous mutual support, (2) Envisioned learning opportunities and feedback scaffolding, and (3) Plan the use of feedback. To operationalize these principles, the toolkit included a set of practical materials: podcasts, infographics, feedback prompts, and a Mini-CEX. The pilot study demonstrated the toolkit's usability and acceptability and highlighted its value in structuring feedback interactions.

Challenges included limited time for full implementation and difficulties in providing constructive feedback. The co-creation approach enabled the development of a fit-for-purpose feedback toolkit that aligns with the dynamic needs of clinical education. This study highlights co-creation as a feasible strategy for designing feedback processes in workplace-based learning.

The attached files include the logbook in detail, which contains the information collected in the co-creation sessions. Additionally, I share information regarding the first input for the co-creation team and the audio diaries' weekly questions, which were used to collect data in the pilot study.