Delivering Effective Feedback

NTGPE 2015

Feedback is ?• Specific information about the

comparison between a learner’s observed performance and a standard, given with the intent to improve the learner’s performance

• “A conversation about performance” ( to develop lifelong learning )

Why is feedback important ?

• Acknowledgement of learning

• Framework for development

• Provides Motivation

Preparation for feedback

• Appropriate setting• Establish structure or model• Consider broader learning context• Remember specific purpose on this

occasion• Consider what to say / write in advance

Planning for Feedback?... RePAiR model

• Steps of giving feedback:– Recognise what you are giving feedback

on (Isolate main issues; max 3/session)

– Preparation; gather info and plan

– Action; deliver the feedback; various models

– Review; outcome of the feedback?

Effective Feedback Characteristics– Announced– Timely– Objective– Specific– Shared– Genuine– Meaningful– Uses silence effectively– Aims for improvement– Allows reflection– Leads to reassessment

Pendleton’s Rules

–Recipient : what went well

–Provider : what also went well

–Recipient : opportunities for change

–Provider : further opportunities for change

Calgary Cambridge Model

• Start with the learner’s agenda• Focus on outcome required• Encourage self-assessment & problem

solving• Provide balanced feedback• Make and rehearse suggestions• Be respectful• Structure and summarise

Constructive Feedback

• Let the recipient speak first (self assessment)• Start with the good points• Identify areas to improve• Be specific and give concrete examples• Plan a solution for each problem• Deal with one issue at a time • Show interest and involvement

• You were sitting in the room observing the registrar’s consultation with Mr Willis and now you are providing feedback.

• Your Registrar is a GPT1 with 2 months experience. The Registrar has worked in Emergency Department and as a Medical Registrar but has not undertaken any work in Psychiatry.

• This is the first time you have sat in and provided feedback