Journal of General Internal Medicine

, Volume 18, Issue 10, pp 831–834 | Cite as

Interactive faculty development seminars improve the quality of written feedback in ambulatory teaching

  • Stephen M. Salerno
  • Jeffrey L. Jackson
  • Patrick G. O’Malley
Innovations In Education And Clinical Practice


We performed a pre-post study of the impact of three 90-minute faculty development workshops on written feedback from encounters during an ambulatory internal medicine clerkship. We coded 47 encounters before and 43 after the workshops, involving 9 preceptors and 44 third-year students, using qualitative and semiquantitative methods. Postworkshop, the mean number of feedback statements increased from 2.8 to 3.6 statements (P=.06); specific (P=.04), formative (P=.03), and student skills feedback (P=.01) increased, but attitudinal (P=.13) and corrective feedback did not (P=.41). Brief, interactive, faculty development workshops may refine written feedback, resulting in more formative specific written feedback comments.

Key words

feedback ambulatory teaching faculty development 


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  1. 1.
    Heckelman FP, Vanek E, Kelly K, Alemagno S. Characteristics of family physicians’ clinical teaching behaviors in the ambulatory setting: a descriptive study. Teach Learn Med. 1993;5:18–23.CrossRefGoogle Scholar
  2. 2.
    Glenn JK, Reid JC, Mahaffy J, Shurtleff H. Teaching behaviors in the attending-resident interaction. J Fam Pract. 1984;18:297–304.PubMedGoogle Scholar
  3. 3.
    Marvel MK. Improving teaching skills using the parallel process model. Farm Med. 1991;23:279–84.Google Scholar
  4. 4.
    Salerno SM, O’Malley PG, Pangaro LN, Wheeler GA, Moores LK, Jackson JL. Faculty development seminars based on the one-minute preceptor improve feedback in the ambulatory setting. J General Intern Med. 2002;17:779–87.CrossRefGoogle Scholar
  5. 5.
    Ende J, Pomerantz A, Erickson F. Preceptors’ strategies for correcting residents in an ambulatory care medicine setting: a qualitative analysis. Acad Med. 1995;70:224–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Irby DM. Teaching and learning in ambulatory care settings: a thematic review of the literature. Acad Med. 1995;10:898–931.CrossRefGoogle Scholar
  7. 7.
    Heidenreich C, Lye P, Simpson D, Lourich M. Educating child health professionals. The search for effective and efficient ambulatory teaching methods through the literature. Pediatrics. 2000;105:231–9.PubMedGoogle Scholar
  8. 8.
    Schum TR, Krippendorf RL. Feedback notes: a system for feedback to students and residents. Acad Med. 2000;75:556–7.PubMedCrossRefGoogle Scholar
  9. 9.
    Hatala R, Norman GR. In-training evaluation during an internal medicine clerkship. Acad Med. 1999;74 (10 Suppl.):S118–20.PubMedCrossRefGoogle Scholar
  10. 10.
    Holmboe ES, Fiebach NH, Galaty LA, Huot S. Effectiveness of a focused educational intervention on resident evaluations from faculty: a randomized controlled trial. J Gen Intern Med. 2001;16:427–34.PubMedCrossRefGoogle Scholar
  11. 11.
    Neher JO, Gordon KC, Meyer B, Stevens N. A five-step “microskills” model of clinical teaching. J Am Board Fam Pract. 1992;5:419–24.PubMedGoogle Scholar
  12. 12.
    Jackson JL, O’Malley PG, Salerno SM, Kroenke K. The Teacher and Learner Interactive Assessment System (TeLIAS): a new tool to assess teaching behaviors in the ambulatory setting. Teach Learn Med. 2002;14:249–56.PubMedCrossRefGoogle Scholar
  13. 13.
    Huber PJ. The behavior of maximum likelihood estimates number non-standard conditions. In: Proceedings of the Fifth Berkeley Symposium on Mathematical Statistics and Probability. Berkeley, CA: University of California Press; 1967;1:221–33.Google Scholar
  14. 14.
    Ende J. Feedback in clinical medical education. JAMA. 1983;250:777–81.PubMedCrossRefGoogle Scholar
  15. 15.
    Isaacson JH, Posk LK, Litaker DG, Halperin AR. Resident perceptions of the evaluation process. J Gen Intern Med. 1995;10(Suppl.):89.CrossRefGoogle Scholar
  16. 16.
    Hewson MG, Little ML. Giving feedback in medical education: verification of recommended techniques. J Gen Intern Med. 1998;13:111–6.PubMedCrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2003

Authors and Affiliations

  • Stephen M. Salerno
    • 1
    • 2
  • Jeffrey L. Jackson
    • 2
  • Patrick G. O’Malley
    • 2
    • 3
  1. 1.Department of Medicine (MCHK-DM)Tripler Army Medical CenterHonolulu
  2. 2.Uniformed Services University of the Health SciencesBethesda
  3. 3.Walter Reed Army Medical CenterWashington, DC

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