Giving and receiving feedback is not only an ACGME requirement for residents, but one that we recognize contributes to growth and development as a learner and as a mentor. At Children’s National, we have formal feedback structures in place to guarantee that all of our residents can continue to improve. Our formal written evaluations are sent to both faculty and residents and are milestones-based, highlighting the developmental trajectory of each resident.
Residents at Children’s National are required to evaluate each rotation and faculty member that they work with. Evaluations are anonymous and taken very seriously by the program evaluation committee, often leading to swift action if an area of weakness is identified. Each resident is also required to complete evaluations on the overall program, their peers and themselves.
At the end of each rotation, the faculty members evaluate each resident formally through MedHub. These evaluations are available immediately for resident review. Residents will also receive anonymous evaluations from their peers.
Beginning in 2013, the residents began taking part in a “360 degree feedback” initiative which gives all members of the multidisciplinary team the ability to evaluate each other. Nurses, dietitians, case managers, social workers and parents can now give formal feedback to residents, expanding their understanding of self and reinforcing positive behaviors.
We encourage all members of the team to give timely feedback to one another on performance and patient care. The academic teams have formalized this with “Feedback Fridays.” Time is set aside weekly to allow residents to give and receive feedback from medical students, co-residents, fellows and attendings. This ensures that timely feedback is given and encourages residents to reflect on their progress and to make short-term and longer-term goals.
Intern OSCE (Objective Structured Clinical Examination)
The annual Intern OSCE was established to provide direct observation and milestones-based feedback for each intern at the end of the year. In addition, through the OSCE, our residency program has collected information which has informed our decisions to make adjustments and additions to our educational curriculum.
The OSCE was developed in collaboration with the Uniformed Services University of the Health Sciences’ simulation center to focus on pediatric competencies important for interns to develop by the end of their first year of residency. State-of-the-art resources, many standardized patients and parents, and nearly 40 faculty work together to create this day-long experience for our interns.
Interns state that this observation and feedback has been important to their development as pediatricians. The annual Intern OSCE is just one example among many of structured, individualized feedback.