Reflective Feedback Conversation Model (Preclinical Educators)

This presentation outlines the components of engaging learners (medical students or residents) in reflective feedback conversations, a model developed by Cantillon & Sargeant (2008). The guide offers guidance for instructors of medical students in non-clinical settings. Author: Karen Spear Ellinwood, PhD, JD, EdS, Director, Faculty Instructional Development, Residents as Educators Program; Assistant Professor, Department of Obstetrics and Gynecology, University of Arizona College of Medicine.

PRESENTATION OUTLINE

Reflective Feedback Conversations Model

For Giving ACTIONABLE Feedback

Key Concepts

  • Define Feedback
  • Distinguish it from Evaluation
  • Describe Reflective Feedback Conversation Model
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What is...

Feedback is...

  • More than saying "good job"
  • More than "great explanation of the kreb cycle!"

It is More than...

Evaluation tells the learner

whether they did well, or not, or somewhere in between.

FEEDBACK Explains Evaluation

Tells learners WHY you evaluated it the way you did.

we are actively engaged

We learn through conversation because 
Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Ende J. Feedback in Clinical Medical Education. JAMA 250(6); 1983.

Hewson M, Little M, Giving Feedback in Medical Education; J Gen Intern Med. 1998 February; 13(2); 1998.

Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.

Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.

Schute VJ. Focus on Formative Feedback. Review of Educational Research March 78:153-189; 2008.
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We learn from

Formative(constructive) Feedback
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Why not offer formative feedback

through conversation?
Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Ende J. Feedback in Clinical Medical Education. JAMA 250(6); 1983.

Hewson M, Little M, Giving Feedback in Medical Education; J Gen Intern Med. 1998 February; 13(2); 1998.

Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.

Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.

Schute VJ. Focus on Formative Feedback. Review of Educational Research March 78:153-189; 2008.

The Model

Frame feedback as a conversation

Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.
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Encourage

Student's Active Participation

1. INVITE Self-assessment

Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.
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2. RESPOND with Constructive Compliments & Correction

Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.
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3. DESCRIBE Specific, relevant observable behaviors and...

Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.
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4. Offer Actionable Guidance for improvement

Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Actionable Guidance is Helpful

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How can we be helpful?

ANCHOR feedback to expectations

Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.
Photo by Grempz

Ask & Invite Questions

Empathize without commiserating

It's a conversation.

Invite a reply & Respond to their concerns
Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Tell the learner something they can act upon to continue good behaviors and improve others.

or written feedback

Whether it's face-to-face 

PROMOTE Reflection (self-assessment)

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Describe relevant, observable behaviors to support your assessment.

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Offer Actionable Guidance

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References

  • Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November 337 (7681); 2008.
  • Ende J. Feedback in Clinical Medical Education. JAMA 250(6); 1983.
Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Ende J. Feedback in Clinical Medical Education. JAMA 250(6); 1983.

Hewson M, Little M, Giving Feedback in Medical Education; J Gen Intern Med. 1998 February; 13(2); 1998.

Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.

Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.

Schute VJ. Focus on Formative Feedback. Review of Educational Research March 78:153-189; 2008.

Vacca RT and Vacca JL. Content Area Reading: Literacy and Learning Across the Curriculum. Boston: Pearson Publishers; 2005.

References

  • Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.
  • Schute VJ. Focus on Formative Feedback. Review of Educational Research March 78:153-189; 2008.
Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Ende J. Feedback in Clinical Medical Education. JAMA 250(6); 1983.

Hewson M, Little M, Giving Feedback in Medical Education; J Gen Intern Med. 1998 February; 13(2); 1998.

Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.

Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.

Schute VJ. Focus on Formative Feedback. Review of Educational Research March 78:153-189; 2008.

Vacca RT and Vacca JL. Content Area Reading: Literacy and Learning Across the Curriculum. Boston: Pearson Publishers; 2005.

References

  • Hewson M, Little M, Giving Feedback in Medical Education; J Gen Intern Med. 1998 February; 13(2); 1998.
  • Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.
Cantillon P, Sargeant J, Teaching Rounds, Giving Feedback in clinical settings. BMJ; November337 (7681); 2008.

Ende J. Feedback in Clinical Medical Education. JAMA 250(6); 1983.

Hewson M, Little M, Giving Feedback in Medical Education; J Gen Intern Med. 1998 February; 13(2); 1998.

Pangaro LN. A New Vocabulary and Other Innovations for Improving Descriptive In-Training Evaluations. Academic Medicine 74:11 (November); 1999.

Schön D. The reflective practitioner: How professionals think in action. NY:Basic Books; 1983.

Schute VJ. Focus on Formative Feedback. Review of Educational Research March 78:153-189; 2008.

Vacca RT and Vacca JL. Content Area Reading: Literacy and Learning Across the Curriculum. Boston: Pearson Publishers; 2005.

Karen Spear Ellinwood, PhD, JD, EdS

Director, Faculty & Resident Instructional Development
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