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Essentials of Effective Feedback

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Arun Shanbhag

Slides from a presentation by Dr Jo Shapiro at the Teaching To Teach Workshop, Boston, MA May 1-2, 2009

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Essentials of Effective Feedback Department of Orthopedic Surgery Massachusetts General Hospital Teaching to Teach May 2009 Jo Shapiro, M.D. Chief, Division of Otolaryngology Director, Center for Professionalism and Peer Support Brigham and Women’s Hospital Associate Professor, Otology and Laryngology Harvard Medical School
Team sport ,[object Object],[object Object],[object Object],[object Object],[object Object]
What are your expectations of me today? ,[object Object],[object Object],[object Object]
Feedback: defined ,[object Object],[object Object]
Feedback--Who needs it? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Feedback--What happens without it? ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Results of effective feedback ,[object Object],[object Object]
Avoid giving feedback at the learner’s peril (Bucher R, Stelling,JG: Becoming Professional. Sage Publications, Inc. Beverly Hills, CA, 1977.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Caveat: egregiously unprofessional behavior ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why saying Just Do It doesn’t work
What is your biggest personal barrier to giving feedback?
Challenges ,[object Object],[object Object],[object Object],[object Object]
And more challenges… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Feedback vs. Evaluation
Who in this room has primary responsibility for determining: Residents’ evaluation and competence to proceed with next level of training? or Students’ clerkship grade?
Tower of Babel ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learning Cycle (from Liz Peet, personal communication) expect evaluate observe observe feedback
Feedback Fundamentals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learning Cycle (from Liz Peet, personal communication) expect evaluate observe observe feedback
Feedback Fundamentals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“The deepest principle in human nature is the craving to be appreciated.” ,[object Object]
Basic Assumption I assume that you are a dedicated person who shows up at work intending to do an excellent job.
Trust and mutual respect are the key ,[object Object],[object Object],[object Object],[object Object]
High expectations with confidence in the learner’s being able to achieve them
Feedback Fundamentals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Carpe diem ,[object Object],[object Object]
Feedback Fundamentals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
You know what happened, but not why it happened Therefore, you may not know how to prevent it from happening in the future
Frame-based feedback: algorithm overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Personal work underneath frame-based feedback ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Frame-based feedback ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resident seems to be mildly melting down in the middle of a case
Feedback algorithm (details) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Our fitness needs to get to the next level" ,[object Object],[object Object]
When not to use framework-based feedback: ,[object Object],[object Object],[object Object],[object Object]
Frame-based Feedback ,[object Object],[object Object],[object Object],[object Object],[object Object]
Feedback Fundamentals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More feedback fine points ,[object Object],[object Object],[object Object]
Debriefing
Caveat: egregiously unprofessional behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disruptive behavior ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dangers of anonymous written feedback ,[object Object],[object Object],[object Object],[object Object]
Suggested evaluation comments for today’s workshop ,[object Object],[object Object],[object Object]
Overcoming the challenges of giving feedback ,[object Object],[object Object],[object Object],[object Object],[object Object]
This is not a Kumbyah process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Courage required ,[object Object],[object Object]
What did you learn today?
The “must remember” skills for effective feedback ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thanks for learning with me today Feedback please…
Bibliography ,[object Object],[object Object],[object Object],[object Object]
Bibliography ,[object Object],[object Object],[object Object],[object Object]
Bibliography ,[object Object],[object Object]

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Essentials of Effective Feedback

  • 1. Essentials of Effective Feedback Department of Orthopedic Surgery Massachusetts General Hospital Teaching to Teach May 2009 Jo Shapiro, M.D. Chief, Division of Otolaryngology Director, Center for Professionalism and Peer Support Brigham and Women’s Hospital Associate Professor, Otology and Laryngology Harvard Medical School
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  • 11. Why saying Just Do It doesn’t work
  • 12. What is your biggest personal barrier to giving feedback?
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  • 16. Who in this room has primary responsibility for determining: Residents’ evaluation and competence to proceed with next level of training? or Students’ clerkship grade?
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  • 18. Learning Cycle (from Liz Peet, personal communication) expect evaluate observe observe feedback
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  • 20. Learning Cycle (from Liz Peet, personal communication) expect evaluate observe observe feedback
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  • 23. Basic Assumption I assume that you are a dedicated person who shows up at work intending to do an excellent job.
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  • 25. High expectations with confidence in the learner’s being able to achieve them
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  • 29. You know what happened, but not why it happened Therefore, you may not know how to prevent it from happening in the future
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  • 33. Resident seems to be mildly melting down in the middle of a case
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  • 48. What did you learn today?
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  • 50. Thanks for learning with me today Feedback please…
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