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.

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 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
2
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
3
Giving Feedback

• Angela Jackson, MD
• Associate Director, Boston University Residency
  Program in Medicine

4
Feedback

• The process by which the teacher provides
  learners with information about their performance
  for the purpose of improving their performance

5
Feedback

• Provides learners with guidance regarding their
  KNOWLEDGE, SKILLS and ATTITUDES.

6
Feedback

• Reinforce good behavior (positive)
• Correct mistakes (negative)
• Improved performance

7
(No Transcript)
8
8 Steps to More Effective Feedback

• 1) Specific

9
8 Steps to More Effective Feedback

• 1) Specific
• 2) Frequent

10
8 Steps to More Effective Feedback

• 1) Specific
• 2) Frequent
• 3) Timely

11
8 Steps to More Effective Feedback

• 1) Specific
• 2) Frequent
• 3) Timely
• 4) Includes self- assessment

12
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?

13
8 Steps to More Effective Feedback

• 5) Focused on observed behaviors not the person

14
8 Steps to More Effective Feedback

• 5) Focused on observed behaviors not the person
• 6) Focused on what is changeable

15
8 Steps to More Effective Feedback

• 5) Focused on observed behaviors not the person
• 6) Focused on what is changeable
• 7) Motivates behavior change

16
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

17
(No Transcript)
18
Feedback

• The Delivery
• Choose the time and location
• Decide how much to dole out
• Acknowledge the learners situation
• Give the learner the opportunity be involved in
  creating plans for improvement

19
Feedback

• Feedback sandwich

20
Feedback

• Catch them doing something right