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To celebrate my first call with one of my amazing new fellows, a 
on giving and receiving feedback (1/8) #MedTwitter
on giving and receiving feedback (1/8) #MedTwitter
Almost every trainee and attending in academic medicine wants more constructive feedback. Praise is great, but constructive criticism is a major tool in how we improve our clinical care, teaching, and communication. (2/8)
One of my fav #MedEdPearls= giving & getting constructive feedback is like being told you have a booger on your face. It’s embarassing to hear & too uncomfortable for many people to point out. But at the end of the day, most of us want to be told. (3/8)
Every good feedback session, whether it’s a learner, friend, partner, or spouse, focuses on behaviors. You made a mistake on that order, you didn’t come to the bedside when the nurse was worried... NOT you are lazy, you never pay enough attention, you are “unprofessional”. (4/8)
My 4 step system- name the behavior, why I care, what led to the behavior, how are WE going to work on it. Escalate the concern only if the problem is big enough or feedback is not regarded. Think hard before you decide it merits being recorded for posteriority in an eval. (5/8)
Shame 
is not a learning tool. Neither is humiliation. Even if your attendings did it to you. Even if you think you learned well that way. (6/8)
is not a learning tool. Neither is humiliation. Even if your attendings did it to you. Even if you think you learned well that way. (6/8)
On receiving feedback- giving constructive feedback is tough so if I take the time to do it that means I actually care if you get better. I’m not doing this for my own good. Be accountable- it is normal to feel disappointment, guilt, even shame when things go wrong.(7/8)
Don’t be afraid to say “thank you for the feedback, I need a little more time to process this”. Always say “thank you for the feedback”, even if you don’t mean it right then. Use the feedback as it was intended- a tool to make you stronger. (8/8)
