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

2. What is MSF?

3. MALE SEEKING FEMALE

4. MULTI- SOURCE feedback
MSF
MULTI- SOURCE feedback

5. FEEDBACK

6. 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.

7. 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

8. Don’t be dishonestly kind
MULTIPROFESSIONAL FACULTY DEVELOPMENT

10. SENIOR RESIDENT
CONSULTANT
STAFF-NURSE
JUNIOR RESIDENT
MEDICAL STUDENT

11. APGAR

12. OB
FAMILY
SOMETHING I DEVELOPED ……
STUDENT
FAMILY MEDICINE RESIDENT

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

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

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

16. 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

17. PARTICIPATION Involvement in academic discussions
Involvement in non academic activities

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

19. 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

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

21. 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

22. 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

23. UNTESTED/ UNRESEARCHED
This is still an
UNTESTED/ UNRESEARCHED
tool