Teaching Evaluations and Feedback

By Mayo Clinic - Mayo Clinic, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=90416477

Golden Stethoscope Award - Mayo Clinic Alix School of Medicine 2020

One of two residents out of all of those at Mayo Clinic in Rochester, MN to receive this award in 2020. Medical students in their 3rd and 4th year nominate and vote on candidates from any/all specialties and years.

This award is usually presented at the medical school's graduation ceremony, which was switched to virtual format in 2020 due to the pandemic.

Special Contributions to Emergency Medicine - Simulation

Received this award at the Faculty Retreat in 2022 for above-and-beyond dedication to the simulation and procedure curriculum in the department.

Clinical Teaching Evaluations

Residency

The University of Michigan uses MedHub for anonymized post-shift feedback from residents. The below has not been edited except for minor formatting changes.

1. Examples of 1 or 2 things that I would like this faculty member to continue to do:

I just love Dr. Thomas. She loves this job so much and I was lucky enough to have her and another attending on a shift together who also clearly loves this job and it was probably the most fun/learning/joy I've ever had on a shift. She did a lot of active teaching and gave me a lot of autonomy. I also really appreciated her feedback, which I've tried to use to become a better physician. I am so disappointed to hear that she won't be staying within the University of Michigan Hospital system. She is passionate, thoughtful, and an excellent clinician teacher who could have continued to be an integral part of our program.

Explains clinical decision making process, creates a welcoming learning environment, involves residents with procedures

Invested in resident education. Enjoy talking through differentials on unique patient presentations, easy to work with and approachable. Losing Dr. Thomas to an outside institution is truly a loss for resident education

Excellent attending. Awesome teacher who both provides tremendous clinical knowledge but also encourages appropriate intern autonomy. Treats residents as near-peers which is deeply appreciated

Dr. Geers [Thomas] is a true pleasure to work with. She takes the time to discuss case specific learning points. I especially appreciate her teaching technique of 5 DDx points for each complaint, it helps to think more broadly about patient presentations.

Teach on shift, tips and tricks for procedures, offer feedback each shift and ask for feedback

Great supervision and support. Wonderful teacher and always finds pearls to give no matter the situation. Good procedural support and skills.

Went out of her way to get me procedural opportunities

Continue taking time to teach during shifts

2. Examples of 1 or 2 things I would like this faculty member to stop doing:

N/A

3. Examples of 1 or 2 things I would like this faculty member to start doing:

N/A

Structured end of shift feedback

For each question there is a selection of 5 ratings: 1 - Poor, 2 - Fair, 3 - Good, 4 - Very Good, 5 - Excellent. Please mark the rating you feel is appropriate for the faculty member. (May not add up to 100% if left blank or N/A)

4. Provides appropriate feedback and mentoring that contributes to my learning and professional development (Overall Faculty Assessment)*

1-Poor: 0% 2-Fair: 0% 3-Good: 0% 4-Very good: 30% 5-Excellent: 60%

Average (STD): 4.67 (0.5)

5. Clinical skills

1-Poor: 0% 2-Fair: 0% 3-Good: 0% 4-Very good: 30% 5-Excellent: 60%

Average (STD): 4.67 (0.5)

6. Communication/Interpersonal skills

1-Poor: 0% 2-Fair: 0% 3-Good: 0% 4-Very good: 20% 5-Excellent: 70%

Average (STD): 4.78 (0.4)

7. Entrusts residents with appropriate autonomy

1-Poor: 0% 2-Fair: 0% 3-Good: 0% 4-Very good: 40% 5-Excellent: 50%

Average (STD): 4.56 (0.5)

Clerkship

Clerkship Faculty Report 2021-22.pdf

Areas of strength in my clerkship clinical evaluations included consistently setting clear expectations, giving highly-rated feedback, involving students in clinical decision-making, and ensuring students were involved in procedures.

Areas for opportunity were that students sometimes felt that I had not observed them taking histories or performing physical examinations.

I now alert students to when I have done this without their knowledge (sometimes I deliberately linger at the door to listen to their conversations with patients or observe their physical examinations without their immediate awareness)
I continue to strive to ensure that I observe a history and physical for each student on every shift and make sure to give directed feedback on these important aspects.

Didactics

Residency Didactics

MedHub is used to collect narrative and numeric feedback on sessions taught/facilitated during residency didactics. A faculty member not involved in delivering content for each day of didactics facilitates an "Educational Autopsy" session at the end of the day, where residents (and faculty, if desired) who did not present may critique the sessions and provide feedback, with guidance by the faculty facilitator to maximise constructivity of the feedback. The facilitator synthesizes a narrative summary of the comments for each specific session, which are copy-pasted below. Any edits or clarifications are noted in blue text and/or brackets.

[Aortic Dissection lecture] Residents really appreciated your approach to this topic. It felt very focused and the flow of the talk made a lot of sense. Residents liked how you walked through the case and throught about all of the complications that can arise at any given point in the case. Your radiology images were of great quality. Residents noted how you do a great job of making people feel valued even if their answers were wrong. One point of feedback: one of the residents commented on how part of the patient evaluation should include an extremity evaluation; they recently had a case of a pulseless limb that ultimately was due to an aortic dissection and thus felt that should be included.

[ITE Mega-Review Feb 23] "Thank you for this session! Residents liked the rapid-fire pace and use of Kahoot to maximize engagement. Content was excellent, though some senior residents noted they have done a lot of Rosh Review over the years and so some of the questions felt familiar and/or memorized. They liked the dichotomy between your session (lots of questions) and Dr. Shaffer's session (less questions with deeper dives) and want to keep both versions for next year's iteration."

[Nail Bed Laceration Repair and Fish Hook / Ring Removal] PROC LAB: "The participants found the procedure lab to be excellent. The choice of procedures was well thought out and was quite valuable. Specifically, the nail station [my grant project] was excellent. The only constructive feedback was having equal stations/distribution for fish hook removal." [removed additional feedback about a simulation session run by the other assistant simulation director]

[Simulation: Tele-stroke]

Pivot from [in person] sim to oral boards style case [clinical data was delivered in similar fashion to virtual oral boards] worked well
Separate faculty driving slides [from acting as model/ provider of history] was smooth
The case was probably just right in terms of difficulty, since interns didn’t finish and EM4s finished 5 minutes early
Most liked the telehealth angle for something different, one person felt it wasn’t necessary

[Procedure Lab: Chest Tube insertion and Chest Tube Drainage/Collection System Management] The procedure lab was very well received! The residents loved using the real pig ribs and felt they approximated the real thing quite well. They also really appreciated going over the water seal and atrium, including troubleshooting it. They commented on the patient and experienced teachers.

[Procedure Lab: Splinting] splinting is helpful, would like to focus on less common splints. hands on was useful in traction splint and pelvic binder, increased time for splint.

[Procedure Lab: Auricular Hematoma drainage, Slit Lamp Examination] ear hematomas great, but needed more models through out the day, slit lamp was useful, bulb is burnt out [removed feedback about a different session I did not run]

[Dental Injuries lecture] Your review for this talk was, broadly, a rave. In general, the residency loved your organization (5 main pathologies!), your engaging lecture style, and focus on practical aspects of providing direction for next steps. It made several residents feel excited to learn about teeth! The best quote from one of the residents was "I hate teeth but loved this lecture." For constructive feedback - the talk did feel a little bit overstuffed. When looking into this, some members of the group felt like the discussion on blocks could have been eschewed (it has typically come up more in Sim). Other thought the dental infections were slightly tangential to the core talk. All of it was good - it was more the matter of if it could be focused and give more time to the remaining topics!

[ITE Mega-Review Feb 22] Residents were appreciative of your content for the Kahoot today, because it felt like a good mix of all of the topics and types of questions that they expect to see during the ITE. They liked that you used figures from Rosh Review which is one of their primary learning sources, because the pictures looked familiar to residents in that way. They felt that the length of the question stems was appropriate, and allowed for case vignettes in addition to more simple questions, which can sometimes be hard to do in Kahoot where the character limit is limited so this was particularly viewed in a positive light! One point of feedback/improvement for future lectures would be that there were some tech issues (the Kahoot cut out entirely for one group, and there was no sound in one of the video clips), but residents recognize that this may have been something that was unforeseeable and unavoidable.

[Procedure Lab: Peritonsillar Abscess drainage, Joint Dislocation Reduction] PTA - Most felt it was nice to have a basic overview of performing a PTA. It was really helpful to work out the logistical steps (snip catheter cap, etc.). Some felt it might have been helpful to set the model upright to better play out the scenario in real life.

Reduction - Residents appreciated the choose your own adventure style. Some felt it was not as helpful because no one had a dislocation [lacking specific models which can simulate joint dislocations, we had instructors act as models and residents simulate the procedures for reducing dislocations]. Everyone felt it was nice to have different providers who have different styles talk about what they used in the past to be successful.

Medical Education Track Didactics

Feedback on track didactics is not as structured as residency didactics, which is something that we are currently working on standardizing. Feedback below was often gathered informally and/or verbally.

Getting Started in Education Scholarship

A standard, virtual, lecture-style didactic followed by a mini-journal club, this didactic was not followed by formal evaluation or survey but rather gathered comments from the chat throughout and after the session (including questions during the session). Highlights included:

Discussion on Bodelian search methods in PubMed: the two other medical education education fellows commented that they had previously not known about the use of asterisks (*) in searching for all possible completion forms of the prefix was (e.g. residen* would search for resident, residents, residency, residing, residential)
The medical education fellowship director similarly commented that the review of education search engines, search strategies, and search terms was timely and effective
Two residents commented in the chat that they had never heard of conceptual frameworks before. This prompted additional discussion about their importance in designing and publishing education scholarship, which dovetailed nicely into the journal club on the same topic.
Additional comments from the associate chair of education that the session was nicely delivered and timely, at the beginning of the year, for the medical education track participants.

Bedside Teaching

I used a Liberating Structure (TRIZ) in this presentation, which was also virtual. This facilitated a workshop-like environment. No formal evaluation or surveys were used. Formative feedback below.

A co-fellow in education told me that she enjoyed this format so much that she used it in a presentation she gave several weeks later. She noted that in both sessions, this format was well-received and was a novel approach for most of the participants.
Comments in the chat session, including from the residency program director, indicated that they remained engaged throughout the session as it gave them a chance to share and "vent" negative experiences they had encountered in training in the context of spinning a positive solution from these experiences.

CoMET: Giving Good Didactics

December 2021

What did you like most about the session?

Short, sweet, to the point, relevant

Excellent topic and powerpoint

Showing examples of what not to do

Great speaker

Very entertaining!

I enjoyed the speaker and her humor.

History

Content was very engaging!

Lecturer

I liked the background on evolution of learning and education!

The specific points regarding powerpoint slides and presentation prep

She had an excellent flow to her presentation and gave real concrete advice on how to structure a presentation and how to think about a learners goals and incorporate that into your planning presentation.

Very practical tips!

The power point example w double edge sword

Interactive, engaging discussion, examples she gave

Excellent lecture. Felt like a story. I was just listening and didn’t even need slides.

Very engaging presenter

I found the history part at the beginning of the session very interesting.

I love the Last 3rd of the talk the most with the specific examples of how to have good slide design and how to keep your learner’s attention.

Relatable and very practical for improving my own presentations. Definitely took home many points.

the speaker didn't even need the slides, really great phrasing and content and delivery.

She models public speaking extremely well.

engaging speaker who was particularly humble and adept and rolling with technical difficulties

The expertise and content was very interesting

What did you like least about the session?

Difficulty with zoom

Not very interactive

She talks a lot about adult learning theory, but this lecture sadly didn’t practice her example.

I wish there were a few more opportunities to chat and brainstorm among the participants!

Discussion of adult learning and pedagogy at the beginning

The advice on the "not to do's" regarding the ppt presentation was a bit too obvious.

n/a, she handled the technical difficulties with such grace! super star!

Too much discussion about the definition of education

could not be helped, but IT difficulties :(

I'm not sure that I followed the overall goal/objectives of the talk. Seemed to dip into a lot of "mini-topics" (slide design, pedagogy, public speaking, etc).

The part at the beginning about history went a bit long

Zoom makes stuff awkward and annoying like tech difficulties.

There was significant overlap with prior presentations

She did not incorporate any of her recommendations for adult learners in the lecture

One miscellaneous comment stated "Favorite lecture this year!" However, in response to the comments above I did make some changes to the presentation, cutting back on the amount of history shared and building in more time and opportunity for learner engagement and to share specific examples of using learning theory as a group. I also made technical adjustments to try to circumvent some of the technical problems alluded to above which caused my slides to freeze and, at one point, my computer to completely crash and require restarting during the above presentation.
Subsequent comments from the revised lecture are included below.

November 2022

What did you like most about the session?

Very engaging, good sense of humor!

The resources including power point training mode

I enjoyed some of the practical tips like making use of the power point AI feature for prepping talks, and the concept of facilitator vs teacher and examples of how that can be used

The information about good PowerPoint designs and the PowerPoint coach.

Provided personal presentation feedback tool, covered both theory and practical, introduced me to some learner theory concepts I had not seen

The powerpoint tip was phenomenal. Also liked her talk about history of didactics

Engaging the learner, characteristics of adult learners, powerpoint tips

Thanks for sharing the great PowerPoint tools! For sure will be using them

Quite in depth formal background on some of the educational concepts and theories

Very helpful points that I will use!

Resources to improve talks, specific examples

Expanded my knowledge further

I really liked the portion discussing learning strategies

Demonstration of effective use of slides, presenter's sense of humor

I really liked the powerpoint coach! Also the history lesson was actually really fun and interesting

good pace, rehearsal coach!

The candidness of our speaker. The trick to use PowerPoint coaching

Going over the principles of adult learners and what it means to formulate a teaching session surrounding adult learners as it can obviously be different for different levels of adult learners and compared to young kids/teens/college kids

I really enjoyed the interactive aspects of the residents and open conversations.

What did you like least about the session?

I felt like some of the history about types of learning styles was less applicable to what we are trying to do.

discussion of learning theory is a bit abstract in trying to compare which one may be more helpful

I think the beginning of the session was a little too theoretical for me and the frameworks presented were not as clear

Would’ve liked more of a discussion among the group

At times, it felt like the speaker had assumed that I had more knowledge about educational theory than I did, so it was harder to engage and build upon my knowledge since I was trying to catch up with what she was expecting me to know.

I wish there was a handout! I always want a handout so I can reference the material.

Some of the discussion on educational theory/adult learning was similar to what others previously presented (but I didn’t mind that much)

I think it would be great to break into small groups for more intimate conversations and so everyone could chime in.

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