Feedback: "Beyond Jack Ende"

Providing Effective Feedback and Insight for Interpersonal and Problem Solving Skills.

Feedback is one of the vital components of effective learning and teaching. Many medical educators use the principles outlined by Jack Ende, MD in his paper "Feedback in Clinical Medical Education" (JAMA, 1983; 250; 777-781) and these principles provide a powerful frame work for delivering effective feedback. It is true that effective feedback depends on following Ende's guidelines for delivering feedback; however effective feedback has another critical component that Ende acknowledges but does not elaborate on.

Ende acknowledges that "feedback occurs when a student or house officer is offered insight into what he or she actually did as well as the consequences of such actions". He offers a guideline for how to deliver feedback. However, in order to provide insight, the teacher/observer must have a way of analyzing and codifying what was observed to be able to specifically describe the trainees' actions and help them see the consequences of their actions.

It is particularly difficult to analyze and codify interpersonal and problem solving behaviors; this is why it is difficult to offer specific feedback in these critical areas.

This workshop will provide conceptual frameworks that analyze and codify interpersonal and problem solving skills.

  1. Participants will review Jack Ende's guideline for providing feedback;
  2. Participants will use developmental theory and stages (Erickson and others) to analyze trainees' interpersonal behaviors to structure their feedback and insight.
  3. Participants will use a cognitive framework to analyze trainees' problem solving strategies and structure feedback and insight. This workshop will include videotapes, role play, and small group discussions.