End-of-Shift Feedback in the Emergency Department

For the learner to answer

• What went well on today’s shift?
• What’s something you can work on for your next shift?
• What was something you learned today?

For the educator to answer

• I noticed you did a great job with...
• Something I noticed that I think you could work on...
• A teaching point to remember from this shift is...

Feedback Ideas

Presentations

• History and physical exam: Was it complete? EM-focused?
• Logically presented?
• Differential diagnoses
• Management plan

Procedures

• Knowledge of risks/benefits and skill competency
• Ability to read xrays and EKGs
• Bedside ultrasound skills

Work style

• Efficiency and multitasking skills
• Attitude and motivation
• Patient advocacy
• Knowledge and/or pursuit of evidence-based medicine

Professionalism

• Documentation
• Dealing with nurses, residents, consultants, admission teams

ACGME Core Competencies

• Patient care
• Medical knowledge
• Professionalism
• Interpersonal/communication skills
• Practice-based learning/improve
• Systems-based practice

References