As a clinical educator, I strove to provide feedback that was timely, positive, focused on the student's work, descriptive, and clear (Brookhart, 2018). These are some of the attributes of effective feedback. Additionally, in my feedback I attempted to include three questions important for effective feedback: Where am I going? How am I going? and Where to next? (Hattie & Timeperley, 2007). These questions allowed for both the student and myself to focus on the goal, how to get to that goal, and what needs to happen next in order to maintain progress toward the goal. Inclusion of these components ensured that my feedback was specific for the student.
Knowing that different students have different needs related to feedback, I also provided this feedback via multiple avenues including an oral debriefing after sessions, written feedback following the session, in-situ feedback as needed, as well as formative (midterm) and summative (final) feedback during the semester. If I was able to do an oral debriefing with the student, written feedback that was sent provided a summary of what was discussed. If I wasn't able to meet with the student to debrief, I provided more detailed written feedback and always offered to meet with them at a different time to discuss the session.
Through all the forms of feedback, I encouraged active discussion rather than a one-sided conversation. This is why I emphasized oral debriefings rather than written feedback. It is important to me as a clinical educator to be approachable to my students. If they have a question about something that happened in a session, what they should do next, or had questions about my feedback, I wanted them to feel comfortable asking me. I found that students were more likely to ask questions during times of oral feedback than written feedback.
Details of what was included in each of the avenues of feedback are provided below.
As often as I could, I intentionally scheduled sessions so that an oral debriefing was able to occur immediately following the session. After sessions during the oral debriefing time, I always began the discussion with an open ended question such as "How did it go?" or "How are you feeling?" This allowed the student an opportunity to express their thoughts on how the session went and lead the discussion. I responded to the student reflection of the session by validating their reflection and offering specific feedback through examples. Next I began giving some of my feedback through asking questions, giving examples "I noticed you" or "I saw you do this," and either praising or offering an alternative, "When that happens next time do this."
I asked for understanding several times during these conversations, "Is this making sense?" If it wasn't making sense, I would provide a different explanation, a model, an offer to send a resource along with written feedback, or another time for us to visit about it.
An example of an impactful oral debriefing occurred after a teletherapy session. During this session, two graduate student clinicians were providing support to a parent who was in the home encouraging their child to use an eye-gaze AAC system. Parent coaching was new to both students. After the session, when I began the conversation with an open-ended question, my students asked me, "How do we tell a parent what they need to be doing at home every day with AAC?" This question led to a conversation about partnering with parents, understanding parent priorities and capacities, praising successes for both parent and child through specific feedback, and highlighting progress through specific examples. Through this conversation, the students perspectives shifted from "How do I tell a parent what to do?" to "How do I partner with a family to prioritize their needs and capitalize on their skills?" In a Simucase debriefing later, one of these students referenced this conversation and shared this knowledge with peers in a conversation about family partnership.
While I observed the session, I was taking notes within a word document in order to provide detailed feedback to the student. The format of the document I used had three categories: What went well today?,What can be improved? and Reflection. I used these three categories to ensure that feedback and discussion always included a highlight of the activities or teaching strategies that were successful that day first. This was followed by specifics examples of areas for continued development. Finally, if applicable, an opportunity for reflection (or an area of specific focus) was provided for the student to consider prior to the next session. These notes were not always as detailed as the explanation provided in the oral debriefing, as they were meant to be a summary of the conversation. The notes that I took in during the session in this format were used as I orally debriefed with students immediately following sessions.
In the example below, the format I typically used altered to fit the needs of the student. For this student I organized feedback by activity in the session. In the example below, yellow indicates positive feedback, green indicates areas for improvement, and pink indicates refection.
I provided in-situ feedback in some circumstances in order to give timely feedback that could be applied in that session. Prior to stepping into a session to provide feedback or model a teaching strategy, I explained to my students in what situations I might step in to give feedback including 1) to model a teaching strategy, 2) to assist with a technology problem, 3) to assist with environmental set up, or 4) to provide a material I think may be helpful. I took the time to explain this to clinicians so they would hopefully feel more comfortable with me stepping into the therapy room and to foster a collaborative learning environment. Additionally, if I gave in-situ feedback during a session, I debriefed about why I stepped in during the post session debrief. This was an important component, because the debrief allowed for me to ensure that I was able to provide specific information about why I stepped in to suggest that change.
Below is an example of the a written debriefing I provided after I provided in-situ feedback within a session. The feedback provided was for session management in a telepractice session. I had either turned on my camera and microphone or sent the clinician a direct message via the chat feature on Zoom to prompt the clinician to move on to the next activity.
"Session management-When I prompted you in the session to move on from the reading activity because you were losing her [the client], you agreed. I’m glad that you identified that. Remember though that you are driving the session. If you feel your client is not benefiting from an activity because they are losing interest, you can change the activity."
In this example, I first explain why I provided the prompt (green). Then I acknowledged that her response in the session (blue). I provided praise for her skills in identifying that her client was loosing interest in the current activity (red). And finally, offered a reflection and clarification of what to do next time (purple).
As a clinical supervisor, I participated in midterm and final evaluations of each of the students I provided supervision for. These evaluations were done in collaboration with my supervisors. These evaluations asked us to rate students on a 1-5 scale (1 being not evident, and 5 being consistently observed) for different clinical skills. We then used open text boxes to descriptively identify strengths and areas for continued development for each student. The descriptions in these boxes were brief, and we elaborated on the topics during the conference time with the students. During midterm and final conferences, I held conversations with students about what we observed, went over the evaluation form in detail, asked if there would be anything else they would add, and reflected their thoughts in the evaluation form.
Brookhart, S. M. (2011). Effective feedback should be adjusted depending on the needs of the learner. The Educational Digest, 76(9), 5.
Hattie, J., & Timperley, H. (2007). The Power of Feedback. Review of Educational Research, 77(1), 81–112. https://doi.org/10.3102/003465430298487