Neher: Correct Mistakes
When the learner has demonstrated mistakes, such as omissions, distortions, or misunderstandings, it is important to provide timely feedback in a comfortable environment and way.
- As soon as possible after a mistake, find an appropriate time and place to discuss what went wrong.
- Allow the learner the first opportunity to critique; this will often save you the necessity of having to do so.
- Give "smart" feedback: make it specific, measurable, achievable, relevant, and timely - also consider that you are in an appropriate location!
Sample Feedback
- Once the student self-assesses, you might say, "...in similar cases, I have been successful saying X."
- The items on your differential are excellent. Is there a reason you did not include any infectious causes? One way to avoid prematurely closing your differential is to..."
Example Questions
- How do you think that went?
- How did you feel about that process?
Rationale
- Mistakes left unattended have a high probability of being repeated.
- Negative feedback is a misnomer. All feedback is constructive…you are correcting misconceptions or behavior, not the individual.
- Not correcting mistakes suggests they were accurate while reinforcing misunderstandings.
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The Five-Step Microskills of Clinical Teaching
Neher J, Stevens, N G (2003). The one-minute preceptor: Shaping the teaching conversation. Family Medicine, 36 (6); 391-393.