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