Show Notes for Podcast Ten of seX & whY
Host: Jeannette Wolfe
Guests: Adam Kellogg, Associate residency directory and medical education fellowship director UMMS - Baystate and Mike Gisondi, Vice-chair of education at Stanford
Topic: How to Give Better Feedback
What is bad feedback -
- Vague
- Nonactionable
- Feedback on non-malleable attributes - like gender, age
- Sandwich model
- Done in public place in front of peers
Know what role you are playing (from Thanks for the Feedback)
- Cheerleading: encouragement
- Coach: real time pointers
- Evaluator: comparison of performance to peers or expected benchmark
We are most effective giving and receiving feedback if expectation of roles match up - ie a novice putting in their first central line needs a coach not an evaluator.
Radical Candor- Develop as a Leader and Empower your Team by Kim Scott
- Caring personally
- Challenging directly
Feedback formula by Lisa Stefanar KSE leadership
- Ask permission
- State intention (be a better doctor)
- State behavior
- Describe impact
- Inquire about learner experience
- Identify desired change
General tips
- Feedback is also received best if the learner has a sense of belonging and a believe that you recognize their potential
- Is it the right time (asking them helps)
- Praise in public, give tough feedback in private
- Label it - as in "I'd like to give you feedback, is now a good time?"
- If you anticipate that you might get emotional during feedback, prepare and practice a response. For example, "I obviously have a powerful response to this information could we please take a 5 min break and regroup"
- Emphasize your desire to hear feedback
- If needed ask for clarification
- If you are giving feedback and the other person becomes emotional
- Consider using "Name and Tame strategy
- "Last time I gave you feedback, I noticed that you did…….. and I have to tell you, honestly now I'm a little more hesitant. As I want you to be the best doc you can be, is there a particular way that would work best for you to receive feedback?"
- Switch-tasking- many times conversations can change
- Recognize which conversation you are going to tackle
- The one about a specific behavior
- The one about an emotional tag
Suggested books
Thanks for the Feedback- Douglas Stone Sheila Heen
Radical Candor by Kim Scott
Articles by Mike Gisondi and Lisa Stefanac and the Feedback Formula
https://icenetblog.royalcollege.ca/2018/10/02/the-feedback-formula-part-1-giving-feedback/
https://icenetblog.royalcollege.ca/2018/10/23/the-feedback-formula-part-2-receiving-feedback/
Wise feedback intervention: https://www.apa.org/pubs/journals/releases/xge-a0033906.pdf
Harvard Business School article on gender differences in receiving feedback https://hbr.org/2016/04/research-vague-feedback-is-holding-women-back
Harvard Business School article with deals with managing emotional response to feedback
https://hbr.org/2016/09/how-to-give-feedback-to-people-who-cry-yell-or-get-defensive
