Cyberg

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Teaching Skills[=>]

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One Minute Preceptor Get a commitment. (What do you think is going on?) Probe for supporting evidence. (Why do you think this?) Teach general principles. Reinforce what was done correctly and the effect it had. Correct mistakes. Explain what they did correctly, incorrectly, and how to improve for the next time. Additional Techniques Ask reflection questions: What did you learn from seeing patients today? What troubled, surprised, moved, or inspired you today? One Zebra using MINTS (Metabolic, Infections/Inflammatory, Neoplastic/Neurological, Toxic/Traumatic, Systemic) Feedback and Evaluation Performance appraisal are judgmental evaluation. Feedback offers insight into what the person actually did as well as the consequences of his/her actions. Highlighting the dissonance between the intended results and the actual results, providing impetus for change. How to give feedback effectively Differentiate feedback from praise / positive reinforcement or counseling / career guidance with encouragement and empathy. Time feedback appropriately -- immediately after critical incident or after short interval (emotions leveled, data gathering, or formal time scheduled) Give descriptive rather than evaluative comments (focus on the problem not the individual, e.g.: "We are having a problem with patients being checked in late" vs. "You take too long to check patients in." Clarify understanding the problem Specific data/concrete examples Ask for rephrasing of the concerns to verify understanding Encourage participation and creativity in identifying possible solutions. (In search of excellence) After the feedback session, write down short summary -- what was accomplished, what issues were discussed, and whether future goals were established. How to Gather Feedback Information Specify areas and criteria for evaluation Base the evaluation on direct a

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