Feedback & Evaluations
In order to give effective feedback, a physician needs to develop a sound teacher-student relationship. During the first month, the preceptor should observe the student daily doing interviews and examinations in order to gauge the student’s level of competence and to instruct him/her in areas that need improvement. Evaluation methods and instruments are designed to enhance the student’s learning experience, not just measure performance. Verbal feedback and evaluations are an integral part of the clerkship experience. A lack of direction and ongoing feedback are the most significant shortcomings identified by students during the clinical portion of their training--hallway discussion and off-handed feedback are not as powerful as sitting down and having a private dialogue with the student.
One tool that is helpful is the Daily Feedback Card. Keep it handy and try to note something each day to discuss with the student. Then use it at the end of the rotation to do the final evaluation on the student.
It is suggested that there be weekly meetings between the preceptor and the student; organized discussion and feedback will give the student the opportunity to talk about particular patients and present one or more cases to the preceptor for critique. Additionally, the feedback sessions are a great opportunity for the physician preceptor to review the student’s professional progress (charts, records and activity data), discuss strengths and areas that need improvement, make suggestions for additional study and talk about any personal problems the student may be dealing with. See the WRITE Progress Report and Feedback Summary Form, due in to your WWAMI Regional Dean at the end of each month.
The following Weekly Feedback & Evaluation Reference List was developed to aid the preceptor in evaluating the student’s progress and in offering feedback:
- Interactions with patients
- Clinic and hospital staff relations
- Interaction with consultants
- Community relations
- History taking skills & physical exam techniques, both clinic and hospital based
- Procedural skills
- Differential diagnosis
- Treatment plans
- Hospital progress notes & orders
- Data entries in the student's Patient Visit Log should indicate that the student is getting a variety of experiences
Self-discipline and level of satisfaction:
- Attitude regarding assigned responsibilities - how are things going from the student’s perspective?
- Timeliness - efficient use of time?
- Use of personal time - are there any needs?
- Use of reading time
Evaluations using E*Value
Evaluations are accomplished using the online E*Value evaluation program. In May, a direct link will be sent to the primary preceptor to access the system. It is a good idea to print out the old evaluation forms and distribute those to all preceptors who have worked with a student in a significant way in either Chronic Care, FM, IM (22-week sites), Peds, or Psych, collect those preceptor evaluations, and then create a summary of comments and ranking BEFORE sitting down to do the online evaluation.
For 18-week sites where there is a 2-week FM Clinical Elective, once the four-week clinical elective in FM is complete, another link will be sent out to the primary preceptor to do an evaluation for the elective experience (keeping in mind that the performance of the student at that point should be as a fourth year sub-I student).
It is important to do a "good" evaluation: Please be sure that the grading anchors match the comments about student performance AND that the comments are specific, descriptive, and substantive. Clerkship evaluation guides can be accessed through the WRITE web site under each department, and more is available on each department’s web site: http://depts.washington.edu/write/requirements/index.html
Comment Examples: "the Good, the Bad and the Ugly"
- The Ugly: Jenny was a great student.
- The Bad: Jenny was a hard working student, got along well with others, and was always prepared.
- The Good: Jenny was intellectually curious, thoroughly researched her patient's diagnosis, and went the extra mile. Staff and patients commented on how much they enjoyed working with her. She developed outstanding rapport with her patients and took ownership for their care.
For issues that come up about the mechanics of accessing or using E-Value, Donna Painchaud is the point person for *Peds, *Psych, and *FM.
*Anything having to do with questions about how to evaluate a student would be sent to the appropriate department in c/o Gayle Schneider (Psych), Carla Salldin (Peds), and Lisa Le (FM).
Carmelita Mason-Richardson is the point person for all aspects re. Internal Medicine (either questions about how to evaluate a student and questions about how to use E-Value).
On the issue of filling out evaluations using E-Value when there is no student ID present (which, if not filled in, evaluators cannot proceed), the evaluator should insert the phrase “please complete” which will alert the department to insert the student ID.
Donna Painchaud: email@example.com
Biomedical Informatics and Medical Education: Computer Services Consultant
Lisa Le: firstname.lastname@example.org
UWSOM FM Clerkship Coordinator
Carmelita Mason-Richardson: email@example.com
Department of Medicine: Required third year Internal Medicine Clerkships
Carla Salldin: firstname.lastname@example.org
WWAMI Program Coordinator| Department of Pediatrics
University of Washington School of Medicine-Seattle Children's
Gayle Schneider: email@example.com
Psychiatry & Behavioral Sciences: Program Support Supv 1, Clerkship Coordinator