Embedded Files
What word/s come to your mind when you think of feedback? What is your immediate visceral reaction? The immediate reaction of many medical students (and residents, and attendings) is negative.
What word/s come to your mind when you think of feedback? What is your immediate visceral reaction? The immediate reaction of many medical students (and residents, and attendings) is negative.
We would like to challenge you to think of feedback in terms of “coaching:” two people working together with the mutual goal of optimizing the junior person's performance. Having someone else invest their time in you is a valuable gift! Coaching by definition requires direct observation.
Multiple Strategies to Promote Effective, On-Going Coaching
Multiple Strategies to Promote Effective, On-Going Coaching
Challenging Students to be Proactive
Challenging Students to be Proactive
Identify individual goals, objectives and strategies for each pediatric rotation. What needs to happen for you to look back and say the rotation has been a great experience? You might find it helpful to think in terms of your knowledge, skills, professional growth, and personal wellness. Since goals are more likely to be achieved when shared with others, we encourage you to:
Pick an “accountability partner” to share yours goals with. This could be anyone: your significant others, a rotation colleague, an advisor, etc
Include your goals on your facesheet. We share with supervising physicians and teams
Complete the Soliciting, Analyzing, and Applying Feedback Individual Study Module with your first pediatric rotation
Seek direct observation and coaching opportunities
Clerkship students. Two of our clerkship assignments are aimed at facilitating direct observation and coaching. We require supervising physicians to directly observe and provide feedback on at least 2 patient encounters (or preferably 6 “mini-observations”) using a structured rubric. We also require supervising physicians to formally review and provide feedback on at least two written notes using a structured rubric.
Oher students. While we do have structured formal direct observation requirements in our other courses, we strongly encourage students to be proactive in seeking these out.
Analyze and apply feedback in real time
Schedule formal sit-down feedback sessions. In addition to the more informal ongoing feedback between team members, we also encourage students to be proactive in seeking more formal sit-down sessions. The Department of Pediatrics expectation is a minimum of one formal sit-down session during the first part of each course to discuss performance to date as well as specific suggestions for improvement. Some great opportunities include at the midrotation point, towards the end of your time working with a given attending, towards the end of the course. The dean’s office requires that during the clerkships at least one of these more formal sessions be completed in conjunction with qualtrics.
Culture of On-Going Direct Observation
Culture of On-Going Direct Observation
Active clinical observation is a major strategy in clinical education and something we expect in all of our pediatric courses.
We also expect a role transition as you progress through training Initially the junior physician is in the observer role. As you progress in your medical training you gain more and more scaffolded independence. The observer role transitions to the senior physician who then observes you provides directed feedback.
On-Going Resident and Faculty Development
On-Going Resident and Faculty Development
Effective coaching and feedback is a frequent topic of resident and faculty development. Assessment timeliness is one of our ongoing improvement efforts.
Direct Observation Tools
Direct Observation Tools
We encourage students to use these in both when observing and when being observed.
Structured Clinical Observation
Electronic Pediatric Student Coaching form (recommended)
The supervising physician can pull up on their smart phone via QR code on your badge, e-mail link or scanning the QR codes posted in team rooms
Page updated
Report abuse