Peer feedback is really important for self-assessment during clinical practice, but there are some challenges that make it harder to be effective. Here are a few of those challenges:

1. Subjectivity: Sometimes, feedback from peers can be biased. This means it may be influenced by personal friendships or different ideas about what is considered good work.

2. Fear of Repercussions: Trainees might worry about negative consequences or ruining relationships when they give honest feedback. This can lead to feedback that isn’t very useful.

3. Lack of Structure: If there isn’t a clear way to give feedback, peers might find it tough to share helpful advice. This can result in comments that are unclear or not very helpful.

To tackle these problems, here are some suggestions:

• Create a trusting and open environment. Feedback should be seen as a key part of learning, not as a negative criticism.

• Use standard feedback forms. These forms can help guide peers to give specific and focused comments.

• Encourage regular training on how to give and receive feedback. This will improve the learning experience for everyone involved.