on delivering (and receiving) feedback
DESCRIPTION
The Teaching Center. On Delivering (And Receiving) Feedback. John T. Benjamin MD The Teaching Center UNC Department of Pediatrics. Teaching Thoughts. The Teaching Center. “Teaching is not a lost art, but the regard for it is a lost tradition.” Jacques Barzun - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/1.jpg)
On Delivering On Delivering (And Receiving) Feedback(And Receiving) Feedback
John T. Benjamin MDThe Teaching Center
UNC Department of Pediatrics
The Teaching CenterThe Teaching Center
![Page 2: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/2.jpg)
Teaching ThoughtsTeaching Thoughts
• “Teaching is not a lost art, but the regard for it is a lost tradition.” Jacques Barzun
• “Teachers need to be and teach learners how to be stewards for self-directedness.”
John Parboosingh MD
The Teaching Center
![Page 4: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/4.jpg)
Why Give Feedback?Why Give Feedback?
• An essential part of training and of measuring teaching effectiveness.
• Should encourage self-reflection, raise self-awareness; help students plan for future learning and practice keeping self-image intact.
• Can help prevent distress (burnout)
The Teaching Center
![Page 5: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/5.jpg)
Feedback vs. EvaluationFeedback vs. Evaluation
• These two terms are not equivalent.
• Evaluation is what is done at the end of the experience with the learner. Feedback should be happening as go along.
The Teaching Center
![Page 6: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/6.jpg)
2 Types of Feedback2 Types of Feedback
• Formal: scheduled; this is incorporated into the evaluations of learners.
• Informal: daily as relates to specific events: presentations, write-ups, behavior, etc.
The Teaching Center
![Page 7: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/7.jpg)
How often should formal How often should formal feedback occur?feedback occur?
• Learners state that doesn’t happen often
• Teachers state it occurs more often than learners think.
Recommendation:
Always label: “now you are getting feedback”
The Teaching Center
![Page 8: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/8.jpg)
Barriers to Giving FeedbackBarriers to Giving Feedback
• Our own feelings of inadequacy• Arranging time to do it
• Others?
The Teaching Center
![Page 9: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/9.jpg)
Receiving vs. Giving FeedbackReceiving vs. Giving Feedback
• Do you recognize yourself, your teachers in any of these descriptions?
The Teaching Center
![Page 10: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/10.jpg)
Receiving Feedback: Receiving Feedback: Learner is:Learner is:
• Negative/Closed» Disrespectful, closed, inactive listening,
rationalizing, patronizing, superficial, denies, defensive, attacking
• Positive/Open» Open, responsive, accepting, respectful,
engaged, active listening, thoughtful, interested, sincere.
• Think about feedback you have received and give examples of how you responded in each of these ways
The Teaching Center
![Page 11: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/11.jpg)
Giving Feedback: Giving Feedback: Teacher is:Teacher is:
• Ineffective/Negative Delivery» Vague, insensitive, disrespectful,
judgmental, general, poor timing, impulsive, selfish
• Effective/Positive Delivery» Supportive, direct, sensitive, considerate,
descriptive, specific, good timing, helpful
• Give examples of both that you have experienced
The Teaching Center
![Page 12: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/12.jpg)
How Do We Give Effective How Do We Give Effective Feedback?Feedback?
• Day 1 Expectations of when meet• Do it at the right time and right way• Be supportive and specific• Summarize at end and state when will occur
again
The Teaching Center
![Page 13: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/13.jpg)
Day 1 Clarify ExpectationsDay 1 Clarify Expectations
• “Friday will be feedback day”• Then on Friday, make sure you give each
person feedback or reschedule if you have to. You have made a commitment to do this.
• On day 1, explain why feedback is so important to have done – this motivates learners to do their best.
The Teaching Center
![Page 14: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/14.jpg)
Feedback: Formal Feedback: Formal 5-10 minutes a Week5-10 minutes a Week
• Organized in advance and predictable – not just when things go wrong. Private setting.
• Start by saying: This is our feedback session. • Then ask: “How do you think things are
going?” and then listen carefully.• If no response then: “What things are going
well for you? Not so well?”
The Teaching Center
![Page 15: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/15.jpg)
Criteria for Giving FeedbackCriteria for Giving Feedback• Given with Care• Given with
Attentive Listening• Invited by Learner• Specific• Fully Expressed
• Objective• Well-timed• Directed toward
changeable behavior
• Checked and clarified
• Evaluated
The Teaching Center
![Page 16: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/16.jpg)
Do not give feedback when:Do not give feedback when:
• Learner is post-call
• You are tired and/or angry at the learner
• Other responsibilities conflict with the interaction
The Teaching Center
![Page 17: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/17.jpg)
Do not be vague: eg don’t say:Do not be vague: eg don’t say:
• Good Job (doesn’t mean much)• You are doing great (ditto)• You did …….; you said…….; you were
disorganized……you were better at the beginning of the presentation……;
The Teaching Center
![Page 18: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/18.jpg)
Be as specific as you can: do Be as specific as you can: do say:say:
• Overall, I think things are going well, but:» I observed that…..» Could you clarify…. » It seems to me…..» In your presentation, it would have been
helpful if you had…..
• When would you like to meet next for a followup to this meeting?
The Teaching Center
![Page 19: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/19.jpg)
Giving Positive FeedbackGiving Positive Feedback
• Needs to be specific• Shows spontaneity, variety – not the same as
you gave the student before this one.• Rewards specific effort that you noticed• Provides information about competence,
value of accomplishments, progress
The Teaching Center
![Page 20: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/20.jpg)
Unanticipated Consequences of Unanticipated Consequences of Giving Positive FeedbackGiving Positive Feedback
• Often confirms learner’s opinion of themselves.
• You are considered omniscient• You get a good evaluation from the learner.
One faculty member said: “I am very popular with students – I give them all honors.”
The Teaching Center
![Page 21: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/21.jpg)
Giving “Constructive” Giving “Constructive” FeedbackFeedback
• If learner comes up with areas to work on:» Develop a plan of action which includes
rechecking with learner in a few days» Must also include areas that are going well
and emphasizing the importance of them.» Ask: “What are you going to change?”» At follow-up session, praise specific
improvement: “this is much better, because..”
The Teaching Center
![Page 22: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/22.jpg)
Unanticipated Consequences of Unanticipated Consequences of “Constructive” Feedback“Constructive” Feedback
• If negative enough, learner will “ding” teacher on teacher evaluation.
• Learner may not say “thank you”• Learner may not really learn much or change
their ways, but some will.• Makes you feel bad – this is not why we went
into teaching• What if learner doesn’t get it?
The Teaching Center
![Page 23: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/23.jpg)
Conclude FeedbackConclude Feedback
• Summarize and give a plan of action if needed.
• If problem, identify specific time to meet again in 3-4 days.
The Teaching Center
![Page 24: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/24.jpg)
Our JobOur Job
• Give feedback that is constructive; learners will consider it either positive or negative, but our goal is to help the learner improve and grow.
The Teaching Center
![Page 25: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/25.jpg)
Video of Giving FeedbackVideo of Giving Feedback
• Show video• Discuss: what did senior person do well?
What did senior person not do well?• What did learner do well?• What did learner not do well?
The Teaching Center
![Page 26: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/26.jpg)
Exercise - Groups of 3:Exercise - Groups of 3:1 learner, 1 teacher, 1 observer1 learner, 1 teacher, 1 observer
• Example 1. Student seems uninterested, gives poor eye contact and messes with palm pilot constantly.
• Example 2: Student shows up late and leaves early. He seems unhappy; has gotten only A’s so far.
The Teaching Center
![Page 27: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/27.jpg)
Exercise #2 – score sheetExercise #2 – score sheet
• Score Sheet: Observer to give feedback to the teacher; learner can add opinion as well.
• If time for a second case, rotate roles.
The Teaching Center
![Page 28: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/28.jpg)
Evaluation: Base on levels of Evaluation: Base on levels of Learning RIME:(Lewis First)Learning RIME:(Lewis First)
• Observer only (F)
• Reporter only (+/- P)
• Interpreter (HP)
• Manager (H)
• Educator: Resident Level
The Teaching Center
![Page 29: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/29.jpg)
Evaluation: Grade as a GroupEvaluation: Grade as a Group
• Issues with Honors/High Pass/Pass
• Combine forces with other attendings to come to group consensus! (example of how not to do it: Teach Attending/generalist).
The Teaching Center
![Page 30: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/30.jpg)
Evaluation: despite Evaluation: despite our best effortsour best efforts
The Teaching Center
![Page 31: On Delivering (And Receiving) Feedback](https://reader036.vdocuments.mx/reader036/viewer/2022062302/56816812550346895ddda1d4/html5/thumbnails/31.jpg)
Summary and ConclusionsSummary and Conclusions
• Feedback should be given on each rotation• Day 1 – set expectations• Always be constructive and positive• Recognize: Not everyone will be ready to
hear what you have to say.
The Teaching Center