Effective Feedback giving better than what you got Ann Burke MD Greg Toussaint MD Dept of Pediatrics 1 April 2009 PostGame Giving Feedback A Series of 4 Downs What is feedback ID: 619803
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2009 STReME seriesEffective Feedback- giving better than what you got -
Ann Burke, MD
Greg Toussaint, MD
Dept of Pediatrics
1 April 2009Slide2
Post-Game: Giving FeedbackA Series of 4 Downs:What is feedback?Principles of feedbackDelivering the messageHeard one? Now do oneSlide3
Giving FeedbackWhat is feedback?“Information a system uses to make adjustments…” Ende J. JAMA. 12 Aug 1983Intended to improve; sharpen clinical skillsFeedback presents informationEvaluation summarizes performance; a grade Without feedback, incorrect or ineffective behaviors unwittingly continueSlide4
Principles of Effective FeedbackWell timed and expectedSet aside time; inform learner when it will occurAvoid stressful situations for either partyBase feedback on first-hand dataUse “I-messages” to convey ownership of infoAny important aspect of duties worth includingIf subjective or second hand, say soSlide5
Principles of Effective FeedbackFocuses on behavior, not individualOffer an informed, objective appraisalIdentify clinical skills or actions for improvement“Remediable behaviors”Positive when deserved; negative to helpShould encourage learner to do betterNegative not critical of individual’s self-worthSlide6
Delivering the MessageBe proactiveObserve with intention of giving feedbackKnow the performance criteria (clerkship objectives)Begin with learner’s own assessmentUse “reflective listening” to facilitate their conclusionAllows you to assess if any insight presentSlide7
Delivering the MessageOffer feedback using principles outlinedProvide time for mutual problem-solvingSee if learner recognizes problem areasAsk for solutions. Be ready with your ownSummarize the important issuesGet a commitment to follow-up on progressSlide8
The “Two-Minute Drill”Remember 6 characteristics of feedbackFocus on specificsNon-judgmentalTimelyObjectiveLimitedExpectedAsk – Tell – AskAsk learners how they think they did/are doingTell learners what you observedAsk learners how you can help them improveSlide9
Bucky says…What is feedback?Information to improve clinical skillsPart of our responsibility in hierarchy of medical teachingPrinciples of feedbackPositive or negative – always meant as constructiveDelivering the messageMessage needs delivery, even if receiver not interestedDoes your learner know it’s feedback?
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Test flight time!