APGAR AS MSF: WHAT AND HOW JOSEFINA S. ISIDRO – LAPENA MD, MFM, FPAFP

What is MSF?

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MULTI- SOURCE feedback MSF MULTI- SOURCE feedback

FEEDBACK

WHY IS FEEDBACK ESSENTIAL Feedback is central to developing learners' competence and confidence at all stages of their professional careers. Learners value feedback that helps them develop, facilitates self-reflection and motivates them to learn more and improve.

Barriers to Giving Feedback a fear of upsetting the trainee or damaging the trainee–doctor relationship a fear of doing more harm than good the trainee being resistant or defensive when receiving criticism. Poor handling of a reaction to negative feedback can result in feedback being disregarded thereafter feedback being too generalised and not related to specific facts or observations feedback not giving guidance on how to rectify behaviour inconsistent feedback from multiple sources a lack of respect for the source of feedback. Hesketh and Laidlaw (2002 Barriers to Feedback. Multiprofessional faculty Development, NHS

Don’t be dishonestly kind MULTIPROFESSIONAL FACULTY DEVELOPMENT http://www.faculty.londondeanery.ac.uk/e-learning

SENIOR RESIDENT CONSULTANT STAFF-NURSE JUNIOR RESIDENT MEDICAL STUDENT

APGAR

OB FAMILY SOMETHING I DEVELOPED …… STUDENT FAMILY MEDICINE RESIDENT

STUDENT APGAR A = appearance P = participation G= growth A – attitude towards patients and members of the team R – Responsibility

STUDENT APGAR SCORES 2 = Fully expressed/ demonstrated 1 = partly expressed/ demonstrated 0 = not expressed/ demonstrated

FM RESIDENT APGAR A = ATTITUDE towards patients and members of the team P = participation G = growth A = accountability R = responsiveness

ATTITUDE TOWARDS PATIENTS/TEAM MEMBERS Language used when talking to patients and members of the team Mannerisms/ behavior when dealing with people of various status Pakikitungo sa ….salita at gawa

PARTICIPATION Involvement in academic discussions Involvement in non academic activities

GROWTH Demonstrates improvement from previous level of performance Knowledge or cognition – exams Performance – of procedures Performance in patient care Performance in FCMRTP program activities

pananagutan ACCOUNTABILITY Ability to take responsibility for one’s action especially when it concerns medical errors or personal shortcomings Ability to accept feedback both positive and negative Commitment to the goals of the FCMRTP pananagutan

RESPONSIVENESS Respond in a way that is needed or suitable for a particular situation Open minded and receptive to new ideas Welcoming, approachable

SCORING THE FM Resident APGAR 2 = attribute fully demonstrated in activity 1 = attribute partly demonstrated in activity 0 = attribute was not demonstrated despite opportunity NA – not applicable in the activity

HOW TO USE IT Explain to the evaluator the meaning of each letter Clarify any misunderstanding and provide examples Collect all 360 ‘ evaluations Set meeting with resident. Explain the letters of the APGAR Let resident do self evaluation Discuss with resident the evaluation given by others and compare it with self evaluation

UNTESTED/ UNRESEARCHED This is still an UNTESTED/ UNRESEARCHED tool