Giving Feedback

Giving Feedback


  1. The first step in evaluation is watching the student perform a task or skill, and then giving feedback on it to (a) reinforce what was done well, (b) suggest improvement.
  2. It is best to evaluate the student on a single skill with each patient or case.
  3. Consider how effective the student is in taking a patient history, conducting a physical exam, and in communicating clearly & professionally with you, your staff, and the patients.
  4. Take into account the school's requirements for recording/reporting this information (e.g., Is there a standard form? What items are to be included? With what frequency are you expected to record performance? What is the school's assessment rubric?

The RIME Method

The RIME method of evaluation and feedback was developed by Louis Pangaro, MD.  It is a brief, focused method of feedback that reinforces appropriate professional behaviors, and uses a simple schema to guide constructive feedback for improvement. The RIME schema describes four cognitive levels that reflect common stages in the development of medical skills.

Studies have shown that both preceptors and students prefer the RIME feedback method over traditional methods (e.g., DeWitt, Carline, Paauw and Pangaro, 2008).  Students reported that the RIME method helped them to focus on improving specific behaviors.

Other benefits of the RIME method are that it provides a systematic pattern for giving useable feedback to all learners, helps faculty quickly and effectively evaluate learner performance based on a simple rubric, and improves inter-rater reliability. 

Suggested Readings

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