To the Editor.—
I would like to congratulate Dr Ende1 for his excellent article on feedback in medical education. Distinguishing feedback from evaluation is a concept that has significant practical benefit. As an active member of a large teaching service, I have already had the opportunity to make use of Ende's precepts on numerous occasions, and the results have been most rewarding.I should only like to add one principle to those that Ende has so well categorized. Although feedback is meant to be "neutral, composed of verbs and nouns," it is often somewhat difficult for all of us to accept, as in cases of "negative feedback." To improve the acceptance of feedback by house staff and students and to promote my own personal growth as a teacher and clinician, I have traditionally begun my months of ward rounds with a short session devoted to "contracting." A concept often
Linzer M. Feedback in Medical Education. JAMA. 1984;251(10):1277. doi:10.1001/jama.1984.03340340019008
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