Giving Feedback A Very Important Teaching Strategy Kenya McNeal-Trice, MD Academy of Educators December 19, 2012

Why Feedback? Learners identify delivering feedback as one of the most important qualities of a good teacher second only to clinical competence Learners often report that they want more feedback from preceptors Frequent feedback maintains a focus on learning and improvement

How to Give Effective Feedback Set the climate and establish the expectations Make it routine (feedback Friday, daily feedback) Maintain the focus on improvement Deal with performance not performer In negative and positive feedback Focus on remediable behaviors Separate feedback from evaluation Give feedback all along Fill out an evaluation at the end

Feed information back to learner Set expectations Assess learner Feed information back to learner Feedback is an ongoing process that occurs throughout a rotation -- and throughout a learner’s education. It involves setting expectations of the learner, assessing the learner, and feeding information back to the learner.

Role Plays on Feedback

Label Your Feedback “Would you like some feedback on how you did?” “Here’s some feedback.” “Let me give you some feedback that will improve your presentations.” “Here’s feedback - next time try this…”

Giving Feedback Effectively: Content Demand self-assessment What did you do well? Where do you need to improve? Focus on behavior, not personality Relate feedback to goals and objectives Describe specifics, not generalizations Limit the quantity Correct one error at a time

FEEDBACK Deal with performance not performer It took a long time Not “you are slow” The mother looked confused and unsettled Not “you’re a poor communicator” This note doesn’t accurately reflect the patient’s condition Not “you are a terrible writer” Keep the focus on what can be improved