2009 STReME series Effective Feedback - giving better than what you got Ann Burke, MD Greg Toussaint, MD Dept of Pediatrics 1 April 2009
Download ReportTranscript 2009 STReME series Effective Feedback - giving better than what you got Ann Burke, MD Greg Toussaint, MD Dept of Pediatrics 1 April 2009
2009 STReME series
-
Effective Feedback
giving
better than what you got -
Ann Burke, MD Greg Toussaint, MD Dept of Pediatrics
1 April 2009
1
Post-Game: Giving Feedback
A Series of 4 Downs:
• • • •
What is feedback?
Principles of feedback Delivering the message Heard one? Now do one
Giving Feedback
•
What is feedback?
“ Information a system uses to make adjustments… ” Ende J. JAMA. 12 Aug 1983 Intended to improve; sharpen clinical skills Feedback presents information Evaluation summarizes performance; a grade
Without feedback, incorrect or ineffective behaviors unwittingly continue
Principles of Effective Feedback
•
Well timed and expected
Set aside time; inform learner when it will occur Avoid stressful situations for either party •
Base feedback on first-hand data
Use “ I-messages ” to convey ownership of info Any important aspect of duties worth including If subjective or second hand, say so
Principles of Effective Feedback
•
Focuses on behavior, not individual
Offer an informed, objective appraisal Identify clinical skills or actions for improvement “ Remediable behaviors ” •
Positive when deserved; negative to help
Should encourage learner to do better Negative not critical of individual ’ s self-worth
Delivering the Message
•
Be proactive
Observe with intention of giving feedback Know the performance criteria (clerkship objectives) •
Begin with learner
’
s own assessment
Use “ reflective listening ” to facilitate their conclusion Allows you to assess if any insight present
Delivering the Message
•
Offer feedback using principles outlined
•
Provide time for mutual problem-solving
See if learner recognizes problem areas Ask for solutions. Be ready with your own •
Summarize the important issues
Get a commitment to follow-up on progress
The
“
Two-Minute Drill
” •
Remember 6 characteristics of feedback
Focus on specifics Non-judgmental Timely Objective Limited Expected •
Ask – Tell – Ask
Ask learners how they think they did/are doing Tell learners what you observed Ask learners how you can help them improve
Bucky says…
•
What is feedback?
Information to improve clinical skills Part of our responsibility in hierarchy of medical teaching •
Principles of feedback
Positive or negative – always meant as constructive •
Delivering the message
Message needs delivery, even if receiver not interested Does your learner know it ’ s feedback?
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