5. Providing Educational Feedback

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affective preceptor series providing
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educational feedback we’ve all been in
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situations that require giving an
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effective feedback to a student isn’t it
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frustrating when you just can’t get the
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right words out well in the next few
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minutes I’m going to review everything
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you need to know about giving great
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feedback okay let’s start with a basic
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what is the it’s a constructive and
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objective appraisal of a student’s
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performance it’s usually done in a
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formative and the purpose is to modify
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the learner behavior students generally
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learn through direct clinical encounters
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the addition of feedback improves the
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quality of education and provides a
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system for which the learner can adjust
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clinical skills to meet clerkship or
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residency objectives feedback can also
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motivate students to study and ask the
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right questions
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it gives learners the opportunity to
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recognize knowledge deficit and develop
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as clinicians it’s important to remember
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that although effective feedback can be
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a powerful tool providing poor quality
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feedback can be detrimental this can
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make the learners feel judged or that
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their thoughts or opinions are being
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ignored that leads to defensive miss so
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in the next few minutes I’m going to
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review five key tips for giving great
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feedback and a method to incorporate
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these tips so that you can look like a
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pro tip one preparation know the purpose
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and make sure that you and the learner
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know that this is a formative process
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planning a feedback session and expected
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intervals is preferred for example at
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the end of an ambulatory session or
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after a patient encounter each day or at
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mid clerkship
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the learner should be aware that he or
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she will be receiving feedback in these
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instances in order to help the learner
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effectively modify behavior the closer
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you are to the observed event the better
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try starting with an opening statement
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such as I’d like to give you some
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feedback is now a good time
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this allows the learner to prepare to
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hear and more importantly to listen it
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helps the learner feel in control of the
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situation that can be uncomfortable for
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the person receiving constructive
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feedback tips to create a positive
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environment establish a relationship
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with the learner
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Trust is needed for learner acceptance
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respect the learner and make sure that
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you share feedback in a private setting
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don’t embarrass the learner in front of
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an audience create an environment that
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allows for a constructive dialogue and
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encourages self-assessment you statement
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such as how do you feel about your
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physical examination skills learners are
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often aware of their own weaknesses and
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this self-identification can help Swizz
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behavior modification tip 3 use valid
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evidence these act should be given based
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on firsthand observations or written
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evaluations focusing succinct
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performances not broad generalizations
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if feedback regarding behaviors I can be
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changed and bounce it with both positive
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and negative comments
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try to avoid judgmental statements and
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ones that pertain to personal
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characteristics tip 4 be specific
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learners can be easily overwhelmed so
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don’t start by reading off a laundry
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list of complaints instead concentrate
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on one or two important topics review
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specific examples and make sure that the
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feedback is focused and concise relate
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it back to learning objectives remember
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too much feedback can be overwhelming
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and defeat its purpose tip 5 communique
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and action plan set realistic
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expectations for change
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make sure you establish a follow-up plan
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and ensure learner acceptance consider
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documenting the encounter and creating a
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learning portfolio lastly let your
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learner know that you care about their
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progress and end on a positive note try
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using a feedback sandwich sorry this
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isn’t an actual sandwich feedback should
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be balanced so that learners hear the
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positives and negatives let’s try this
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approach first discuss a positive
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observed skill or behavior then an
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opportunity to improve and lastly
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another positive behavior now you’ve got
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the basics down let’s see it in action
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this is our mid clerkship feedback
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session an opportunity for you to tell
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me how we are doing and for me to tell
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you how you are doing okay here’s the
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self-assessment checklist that you asked
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me to complete thanks
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I see that you have turned in your
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weekly UI’s quizzes and are doing well
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the residents feel that you have been a
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helpful part of the team on labor and
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delivery how are you enjoying the
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clerkship it’s a lot of fun I had the
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opportunity to deliver a placenta last
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week but no baby so that was kind of
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disappointing why do you think you
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missed the delivery I didn’t know the
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patient was pushing and by the time I
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got in the ring it was too late I
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noticed when I was covering labor and
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delivery last week that you were reading
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at the nurse’s station
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which is great when there’s downtime but
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when you have a patient in active labor
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that is a great time to be in the
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patient’s room pushing with the patients
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and making sure that your gown and
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gloves are on the delivery table yeah I
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should have done that being proactive is
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a huge part of being successful on the
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ob/gyn clerkship once the residents give
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you instructions on their daily workflow
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it would be a good idea to take some
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initiative and help the team any ideas
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on how you could do that I could see
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patients in the triage area and start
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taking history but I never know which
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patients to see or when the patients are
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there yes that can be confusing you can
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leave your number with the triage nurse
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and she will be happy to call you when
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there is a patient the key is being
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available and ready and for you to let
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the residents know hey there are three
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patients in triage who would you like me
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to see any questions no thanks for the
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tips
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[Music]
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you