1. Effective Feedback: Getting beyond “Great Job!”
Survival Skills for the Research Years
Trish Kritek
Tuesday, July 10th, 2012

2. Disclosures I have no financial disclosures
I’m not a big fan of powerpoint and prefer discussion to lecture
There are no right answers

3. A quick survey Who has given feedback? Who found this difficult?
Who has received feedback?
Who has found it insufficient?

4. You are not alone Trainees report they receive too little feedback
Mentors don’t feel they have skills or time to deliver feedback
Faculty and housestaff perceptions of feedback differ
Graduate students report higher levels of “ambiguity of expectations” than medical students or residents
Graduate students 4.41 vs (med students) vs (residents) vs. 600 vs. 600
Gil et al. J Med Ed 1984
Boehler et al. Med Educ 2006
Liberman et al. Med Teach 2005
Toews et al. Acad Med 1997

5. My Five Feedback Pearls

6. #1 – Create a culture of feedback-

7. Safe Environment Set expectations Establish mutual goals
Make it bidirectional
Reinforce the positive
Identify feedback
Safe
Environment
Rider and Longmaid, JAMA 1995

8. #2 – Focus on specific, observed behaviors

9. Case 1 – the trainee with multiple deficiencies
Three Case Studies
Case 1 – the trainee with multiple deficiencies
Prioritize
Focus on behaviors
Make it timely

10. Three Case Studies Case 2 – the outstanding post-doc Specifics
Elicit goals (in advance)
Self evaluation
Next steps

11. Three Case Studies Case 3 – the elusive mentor Be direct
Frame it in your goals
Schedule regular reviews

12. The Feedback Sandwich

13. #3 – Feedback takes time and energy

14. Step-wise Process Observation Thought Planning
Prospective observations
Document your thoughts
Safe space
Plenty of time
Immediate at times/delayed at others
Bing-You and Trowbridge, JAMA, 2009.

15. #4 – Really mean it when you ask for feedback

16. A few thoughts Make it expected Give advance notice Allow silence
Use prompts
Create the environment for honest feedback

17. #5 – Respond and follow-up

18. How this could work
Feedback
Response
Change applied
Specific behavior

19. My Five Feedback Pearls
Create a culture of feedback
Be specific
Feedback takes time and energy
Really mean it when you ask for feedback
Respond and follow up

20. Thanks for the opportunity! (all feedback appreciated)

21. Resources
Brookhart, Susan. “How to Give Effective Feedback to Your Students.” pub September 2008
Ende, Jack. “Feedback in Clinical Medical Education.” JAMA 1983;250:
Weitzel, Sloan. “Feedback That Works: How to Build and Deliver Your Message.” pub March 19, 2007
Harvard Business School Press
Giving Feedback: Expert Solutions to Everyday Challenges
Coaching People: Expert Solutions to Everyday Challenges