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EFFECTIVE FEEDBACK. Dr. Shama Mashhood Senior Registrar Medical Education Unit CHS - KMDC. RATIONALE for Giving Feedback. Without feedback, Mistakes go uncorrected, High stakes outcomes. More Rationale. It is our responsibility
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EFFECTIVE FEEDBACK Dr. Shama Mashhood Senior Registrar Medical Education Unit CHS - KMDC
RATIONALEfor Giving Feedback • Without feedback, • Mistakes go uncorrected, • High stakes outcomes
More Rationale • It is our responsibility • It will help learners improve their performance • Can enhance the learner teacher relationships
Objectives • Describe rationale for giving feedback in medical education • Describe common barriers to giving feedback • Identify types of feedback
Objectives • Define characteristics of effective feedback • Observe and practice giving feedback • Develop an action plan for improving feedback in your own practice
Concept of Feedback • In 1940 the Rocket Engineers developed this, Where the system used information to reach its goal.
Barriers to Feedback • It is uncomfortable • avoid confrontation • Learner will not be receptive • No one ever gave me F.B • not sure how to do it
Barriers • Time constraints • Limited information about learner’s performance • Giving only positive feedback • Absence of standard of competence
Essential components of Feedback • What was done well • What could be done better • What will be done to improve next time
Characteristics of Feedback • Timely • Specific • Descriptive • Constructive • In an appropriate setting. • Allow the trainee input. • Focus on the positive.
Timely: • Give feedback soon after an event and as regularly as possible
Specific; “I liked how you did a thorough neurological exam but don’t forget to check the patient’s gait” Rather than global “overall, you are doing fine”.
Descriptive ( Non-evaluative ): I noticed you did not cover the patient during the exam Not: You have no respect for a patient’s privacy
Constructive: Help provide solutions for areas of weakness. “what can be improved”rather than “what is wrong”
Appropriate setting: • Positive feedback is effective when highlighted in the presence of peers or patients. • Constructive criticism should be given in privacy.
Trainee input: • Trainees should be given the chance to comment first • Involve attentive listening.
Focus on the positive: • concentrate on the act or behavior, not the person