All right. Welcome to effective feedback. I'm Sally Santen, I'm a faculty physician at the University of Michigan Medical School. The purpose of this session is to learn how to provide effective feedback. We want you to understand the importance in barriers of feedback, and also be able to provide effective feedback using key components. To do this, we're going to do a variety of different activities. First we will be asking you to discuss feedback. We're going to ask you to think about, what are the important things about providing feedback? Why should we provide feedback? And then we should talk about, what are the barriers to providing feedback? We will then talk about some of the key concepts of feedback. What's important, what's not important. We will watch some videos to determine what's good and what needs improvement on the feedback that is provided. And from this we will build a four step model that includes the key components of feedback. Using this four step model we will watch some videos, and then think about how we would provide feed, feedback to the learners in these videos. And then in the end we want to create an action, plan of when we're going to provide feedback in our setting. Many of you are taking this course because you're educators. I want to draw attention to my slides. The first is that I'm using my role principles of a multimedia design. Which is to say that learners learn best or remember best if they have a mixture of both photos and text. Rather than text alone with the bunch of bullets, or rather than photos alone without any text. So, you will notice that the slides have both a small piece of text plus usually some images, that display the concepts. The hope is that you'll remember better using these. The second principle is that we're going to do a lot of interactive things in this session. You learn best by doing. Remember probably 90% of what we do and say, and about 10%, maybe more on, of what someone tells us. And so our purpose with this is there will be several times during this session where you take a pause and you type in your thoughts so that you are, hopefully able to remember more of what we're doing. That is intentionally designed in this course. So, let's move on to feedback. So, the question is, what is Feedback? So, feedback is the process of observation. It's where we watch our learners and see what they're doing, and then we make an analysis of that behavior of the process of what they're doing. So, we see it, we observe it, we analyze it, and then we take that information and we provide that back to the learner. It's the process of providing it with the learner, and having a discussion that is the real key of feedback. The goal is that they will improve. So, when do we give feedback? So first we give feedback at bedside. We give feedback in the clinic. We give feedback in the operating room. Hopefully, we give feedback as we lecture, or in our offices. I am hoping that we give feedback all of the time. The problem is there is this disconnect. Faculty feel like they provide feedback all of the time. 85 to 90% of the time faculty say, I provide feedback. However, on the other hand, residents feel like they're hardly ever getting feedback. This is a very interesting study that shows the differences in perceptions of feedback between attendings and residents. You can see, faculty thought they were getting it, residents felt they weren't getting it. So why is there that disconnect? We hope to address this in our session so that in the end, we have equality of views and perceptions so that both attendings and residents feel that they are providing and getting feedback. So, first. This is our first discussion point. Why is Feedback Important? I want you to take a few minutes, and enter your thoughts about why you think that feedback is important.