Medical Mentor Coaching Podcast

Unlock the Secrets to Effective Feedback

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Episode: Unlocking the Secret to Effective Feedback

In this episode, Dr. Stacey Ishman explores the art of giving effective feedback in academic medicine. She discusses common pitfalls in feedback delivery and introduces a powerful framework that focuses on the "ideal version" of a role rather than past shortcomings. Through personal examples and practical scripts, she demonstrates how to transform feedback conversations from defensive encounters into collaborative problem-solving sessions.

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Key Points:
  1. Introduction and Context Setting (0:00 - 2:30)
    • The challenge of giving feedback when tired and frustrated
    • Importance of delivering feedback in a way that can be received
    • Personal example of "we need to talk" triggering fight-or-flight response
    • The Problem with Traditional Feedback (2:30 - 6:45)
      • Why past-focused feedback creates defensiveness
      • Example of research productivity feedback done wrong vs. right
      • The psychological impact of criticism on high achievers
      • Types of Ineffective Feedback (6:45 - 10:30)
        • Too vague: "do better" provides no actionable guidance
        • Too negative or past-focused: dwelling on missed targets
        • Too personal: attacking natural abilities rather than specific behaviors
        • Personal story about RVU productivity after maternity leave
        • The Consequences of Poor Feedback (10:30 - 11:45)
          • Shuts people down and fuels burnout
          • Doesn't drive actual improvement
          • Can create lasting negative attitudes toward work
          • The "Ideal Version" Framework (11:45 - 13:30)
            • Why high achievers respond well to clear targets
            • How this approach protects professional identity
            • Creating collaboration instead of defensiveness
            • Framework in Action - Examples (13:30 - 16:45)
              • Research productivity: focusing on leadership expectations
              • Education: emphasizing innovation and mentoring
              • Clinical efficiency: balancing patient volume with teaching
              • The Three-Step Process (16:45 - 17:30)
                • Define the ideal: "this is what great looks like"
                • Give forward-focused feedback: "here's how we get there"
                • Tie to shared values: connect to personal career goals
                • Personal Success Story (17:30 - 20:00)
                  • Overcoming feedback about not connecting with residents
                  • The power of turning around and giving full attention
                  • Simple changes that create significant impact
                  • Practical Application and Scripts (20:00 - 22:00)
                    • Examples of reframing common feedback scenarios
                    • Preparing scripted versions before difficult conversations
                    • Engaging others in problem-solving rather than just pointing out problems
                    • Conclusion and Call to Action (22:00 - end)
                      • Summary of effective feedback principles
                      • Invitation to share and subscribe
                      • Contact information and social media handles
                        • Summary

                        Dr. Ishman transforms how we think about feedback by shifting from a deficit-focused approach to an aspirational one. Her "ideal version" framework helps medical professionals deliver feedback that motivates rather than demoralizes, creating collaborative relationships that drive actual improvement. This episode is essential listening for anyone who regularly provides feedback in medical settings.

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                        Medical Mentor Coaching PodcastBy Dr. Stacey Ishman