Buy-in
Do people really WANT feedback, or just praise?
Question 1:
What can you do to increase the likelihood that feedback will be helpful?
Get buy-in!-- Establish a safe and collegial atmosphere between you and the recipient-- Choose an appropriate time and place-- Strive for coaching rather than evaluating-- Show that you are on the same team, with the same goals
Feedback can feel isolating and lonely. That is not the ideal situation for feedback to be accepted and integrated.
Buy-in
Buy-in is not automatic!
Question 2:
What elements will increase the ability of someone to receive and learn from feedback?
Recipient must feel that you have their best interests at heart--that you want to help them to improve--that you will provide advice and resources to help that happen--that you see both their successes and areas that need work--that you are on their side! Also, two-way feedback can help, meaning that you ask the trainee to give YOU feedback as well as you giving them feedback.
Example: remedial feedback for residents after failing a rotation or board exam
In such a high stakes situation, it is easy for the learner to feel overwhelmed, with too many things to consider.
Buy-in
Example of another situation showing ways to increase buy-in
Question 3:
Is feedback always appropriate to share?
NO! It is important to realize that some situations may be too emotional for immediate processing. Feedback can sometimes be like delivering bad news. If feedback cannot be taken in at a particular time, there is no point in trying to deliver it.
Daily feedback on Breast Imaging--
1. meet with resident first thing in the AM
2. ask them what THEY want to work on, and what THEY feel they are struggling with
3. take copious NOTES during all interactions with them, focusing on their goals
4. at the end of the day, write up your evaluation of how the day went
5. give THEM a chance to read this and comment before it is submitted
(not just the usual "Dr. XX did well on their Breast Imaging rotation")
It can be helpful to stay focused on a FEW things, rather than everything--follow a path to a goal