You watch one of your interns go in to interview and examine the patient. The patient is having...
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Transcript of You watch one of your interns go in to interview and examine the patient. The patient is having...
![Page 1: You watch one of your interns go in to interview and examine the patient. The patient is having difficulty understanding the questions that the intern.](https://reader030.fdocuments.in/reader030/viewer/2022032523/56649d775503460f94a58c94/html5/thumbnails/1.jpg)
You watch one of your interns go in to interview and examine the patient. The patient is having difficulty understanding the questions that the intern fires at her, using lots of medical jargon. He is clearly extremely frustrated after a few minutes. His beeper goes off, and as he leaves the room to answer it, you hear him mutter under his breath something about “waste of my time…”
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You follow him out of the room and:
a) Smack him on the head- that should knock some sense into him
b) Tell him that he should rethink his career decision, as he clearly lacks people skills
c) Shrug and ignore the episode-he is really bright and technically excellent
d) Choose the appropriate time and offer some thoughtful and well directed
feedback
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Giving Feedback
Angela Jackson, MD
Associate Director, Boston University Residency Program
in Medicine
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Feedback
The process by which the teacher provides learners with information about their performance for the purpose of improving their performance
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Feedback
Provides learners with guidance regarding their KNOWLEDGE, SKILLS and ATTITUDES.
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Feedback
Reinforce good behavior (positive)
Correct mistakes (negative)
Improved performance
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8 Steps to More Effective Feedback:
1) Specific
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8 Steps to More Effective Feedback:
1) Specific
2) Frequent
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8 Steps to More Effective Feedback:
1) Specific
2) Frequent
3) Timely
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8 Steps to More Effective Feedback:
1) Specific
2) Frequent
3) Timely
4) Includes self- assessment
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Fostering self-assessment:
“Do YOU feel that YOU are able to identify delirium in a hospitalized patient?”
“How do YOU feel that YOUR interaction with that patient went just now?”
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8 Steps to More Effective Feedback:
5) Focused on observed behaviors not the person
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8 Steps to More Effective Feedback:
5) Focused on observed behaviors not the person
6) Focused on what is changeable
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8 Steps to More Effective Feedback:
5) Focused on observed behaviors not the person
6) Focused on what is changeable
7) Motivates behavior change
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8 Steps to More Effective Feedback:
5) Focused on observed behaviors not the person
6) Focused on what is changeable
7) Motivates behavior change
8) Offers concrete suggestions for improvement
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Feedback“The Delivery”
• Choose the time and location• Decide how much to “dole out”• Acknowledge the learner’s situation• Give the learner the opportunity be involved
in creating plans for improvement
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Feedback
“Feedback sandwich”
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Feedback
“Catch them doing something right”