Giving feedback in medical education
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OBJECTIVE: We investigated naturally occurring feedback incidents to substantiate literature-based recommended techniques for giving feedback effectively.
SETTING: A faculty development course for improving the teaching of the medical interview, with opportunities for participants to receive feedback.
PARTICIPANTS: Seventy-four course participants (clinician-educators from a wide range of medical disciplines, and several behavioral scientists).
MEASUREMENTS AND MAIN RESULTS: We used qualitative and quantitative approaches. Participants provided narratives of helpful and unhelpful incidents experienced during the course and then rated their own narratives using a semantic-differential survey. We found strong agreement between the two approaches, and congruence between our data and the recommended literature. Giving feedback effectively includes: establishing an appropriate interpersonal climate; using an appropriate location; establishing mutually agreed upon goals; eliciting the learner’s thoughts and feelings; reflecting on observed behaviors; being nonjudgmental; relating feedback to specific behaviors; offering the right amount of feeback; and offering suggestions for improvement.
CONCLUSIONS: Feedback techniques experienced by respondents substantiate the literature-based recommendations, and corrective feedback is regarded as helpful when delivered appropriately. A model for providing feedback is offered.
Key wordsgiving feedback faculty development narrative inquiry semantic differential
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- 2.Isaacson JH, Posk LK, Litaker DG, Halperin AK. Resident perceptions of the evaluation process. Society of General Internal Medicine. J Gen Intern Med. 1995;10(suppl):89.Google Scholar
- 3.Westberg J, Jason H. Collaborative Clinical Education: The Foundation of Effective Health Care. New York, NY: Springer Company; 1993.Google Scholar
- 4.Scholtes PR. The Team Handbook: How to Use Teams to Improve Quality. Madison, Wis: Joiner Associates; 1988.Google Scholar
- 5.Lipkin M, Kaplan C, Clark W, Novack DH. Teaching medical interviewing: the Lipkin model. In: Lipkin M, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education and Research. New York, NY: Springer-Verlag; 1995:413–22.Google Scholar
- 6.Sandelowski M. Telling stories: narrative approaches in qualitative research. IMAGE: J Nurs Sch. 1991;23(3):161–6.Google Scholar
- 7.Crabtree BF, Miller WL, eds. Doing Qualitative Research. Newbury Park, Calif: Sage Publications; 1992.Google Scholar
- 8.Osgood CE, Suci GJ, Tannenbaum PH. The Measurement of Meaning. Urbana; Ill: University of Illinois Press; 1957.Google Scholar
- 9.Albreck PL, Settle RB. The Survey Research Handbook. (2nd ed.) Chicago, Ill: Richard D Irwin, Inc; 1995.Google Scholar
- 11.Knowles MS. The Modern Practice of Adult Education. San Francisco, Calif: Jossey-Bass Publishers; 1980.Google Scholar