The trainee in difficulty: Breaking the bad news. Dr Val Bythell Programme director Northern Schools/ Northern Deanerty. Whose ‘bad’ is it anyway?. Yours Others The trainee’s. All feedback is ‘good’.
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The trainee in difficulty:Breaking the bad news
Dr Val Bythell
Trainees don’t want to perform poorly….
- reduction of teacher’s popularity
- harm to student’s self-image
Often justified as ‘the circumstances aren’t appropriate’, ‘I don’t have time’ or ‘its not my job’
‘You are often late for lists’ is better than
‘Your time-keeping is poor’
‘I have some difficulty in understanding what you are saying’ is better than
‘You don’t communicate well’
What is going well with your training?
What aspects could you improve?
Together with the trainee (and others)
Don’t avoid giving ‘negative’ feedback
Always give specific positive feedback first
Comment on behaviour, not core characteristics
It will not be as bad as you think it will!
Feedback in clinical medical education. J Ende