1. PRIME for Evaluation and Feedback

2. Key To Giving Good Feedback
Observation

3. Barriers to Feedback Not enough time! Not enough training Discomfort
Others?

4. Use The PRIME System For Structure
Professionalism
Reporter
Interpreter
Manager
Enhanced Communication

5. USING PRIME
For feedback, student is at the level that is the lowest they have mastered

6. Feedback Using The PRIME Structure
Professionalism
Timeliness
Honesty
Attitude

7. Feedback Using the Prime Structure
Reporter
History taking skills
Write ups
Oral presentation skolls
Organization

8. Feedback Using The PRIME Structure
Interpreter
Interpreting what labs/info should be included in write ups/OCP
Differential diagnosis
Weighted differential

9. Feedback Using The PRIME Structure
Manager /Enhanced Communication
Offers management plans for patients
Functions as the patients doctor
Is able to explain things to patients and families so that they understand them
3 components: “Ward clerk”, Creativity in management and selling it (EC)

10. Using PRIME
If student has problems with organization and presentations, but is managing patients and communicating with patients and families extremely well, they are at the Reporter level (once they master that they will quickly likely move to manager)

11. Example of Written Feedback Using PRIME
Professionalism: Great attitude, enthusiastic. Need to make sure you attend the required clerkship coordinator Monday/Tuesday sessions (have missed or been late to three of these) and Chief resident sessions. Your contributtions to the sessions are very much appreciated.
Reporter: Good thorough case presentations. Write ups are good and are improving. doing an excellent job of incorporating feedback.
Interpreter: Making strides with differential diagnosis, still an area to work on.
Manager: Doing a good job with order writing, very little independent management so far
Enhanced communication: Great rapport with patients and staff, able to explain things well.

12. Another Way To Use PRIME
You are prepared, professional and a great listener for your patients
Your reporting skills were excellent- your write ups were accurate with very detailed, accurate history and exam
You need to review problem lists and update med lists in EPIC, this is part of the write up
You did a good job staying organized doing your in room presentations
You worked at interpreting, coming up with appropriate diagnosis
You took a stab at management- this is an area where you can grow- more detail is needed in the why behind the plans- for example, you did a good job with Mr W in bringing up that he might have had more obstruction causing his increased creatinine, but go the next step and say that you would be concerned with prostatitis causing increased obstruction at the prostate- also, explain the why behind the Ua- what is the purpose of looking for proteinuria? 
Overall, I see you at the interpreter level- working on being more consistent in your management suggestions/ comprehensive plan

13. Example of Unhelpful Evaluation Comments
“superb job!”
“Pleasant and hardworking”
“Excellent student”
“Met all areas of the clerkship”
“Great team player”

14. More Poor Comments
“Overall shows good potential for Internal Medicine”
“Will make an excellent physician”
“Great student. Would be an asset to any residency program”

15. Examples of Poor Formative Comments
Needs to read more
Meets expectations

16. Example of Stellar Evaluation
M, you performed well on the HMC wards. You are an enthusiastic learner with a strong grasp of pathophysiology and are gaining experience with how to apply that knowledge practically. You gather enough data and are learning how to do that intuitively. Your formal communication skills are very good; you have improved your ability to explain your assessment and rationale for management in particular. An important area for growth is to approach your patient care responsibilities with the same confidence and assertiveness you demonstrate during didactics. You demonstrate a great deal of self reflection in your responses to constructive criticism. You have mastered reporting and interpreting- You are functioning at the interpreter level