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How to Give Better Feedback

seX & whY

Release Date: 01/29/2019

Sex and Gender Differences in Aging show art Sex and Gender Differences in Aging

seX & whY

Show Notes for Episode Twenty-Six of seX & whY: Sex and Gender Differences in Aging Host: Jeannette Wolfe Guest: Dr Haag is a researcher in molecular epidemiology who studies human biological aging at the Karolinska Institute in Stockholm. Background - Dr Haag has a PhD in functional genomics and Post Doc in genetic and molecular epidemiology. She studies telomeres and molecular association with telomere length, she also has experience in molecular biology and computer science. Definitions and discussion points from podcast - a new field of biomedical science that looks at how the...

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Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Part 2 show art Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Part 2

seX & whY

Show Notes for Episode Twenty-Five of seX & whY, Part 2: Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Host: Jeannette Wolfe Guests: McKinzie Gales and Emelie Yonally Phillips  – Global Health Fellow at the CDC and co-lead for Phase I of the multi-agency SAGER IOA project aimed at facilitating better collection, analysis, and use of sex-disaggregated data and gendered data for outbreak response.    – Global Health consultant (Epicentre/MSF) and core member of the Integrated Outbreak Analytics initiative ...

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Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Part 1 show art Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Part 1

seX & whY

Show Notes for Episode Twenty-Five of seX & whY: Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Host: Jeannette Wolfe Guests:  – Fellow at the CDC and co-lead for Phase I of the multi-agency SAGER IOA project aimed at facilities' better collection, analysis, and use of sex-disaggregated data and gendered data for outbreak response.  – Global Health consultant and core member of the Integrated Outbreak Analytics initiative   Definitions IOA - Integrated Outbreak Analytics SAGER - Sex and Gender Equity in Research  The Integrated Outbreak...

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Sex and Gender Differences in Conflict - Part 2 show art Sex and Gender Differences in Conflict - Part 2

seX & whY

Show Notes for Episode Twenty-Four of seX & whY: Sex and Gender Differences in Conflict, Part 2 Host: Jeannette Wolfe Guest: Joyce Benenson, lecturer of evolutionary biology at Harvard and author of the book In this podcast we continue our discussion about women interacting with each other at the workplace and how women often manage hierarchy differently than men. We got into a spirited discussion about a question posted on a female physician’s list serve querying whether women physicians want to be addressed as  “Doctor” by other staff members. (My own preference was “yes” in...

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Sex and Gender Differences in Conflict - Part 1 show art Sex and Gender Differences in Conflict - Part 1

seX & whY

Show Notes for Episode Twenty-Four of seX & whY: Sex and Gender Differences in Conflict, Part 1 Host: Jeannette Wolfe Guest: Joyce Benenson, lecturer of evolutionary biology at Harvard and author of the book Warriors and Worriers Here is a link to Dr Benenson’s book .  This book dives deep into the evolutionary roots of human behavior and Dr Benenson makes a very clear and well referenced case that human males and females have evolved from slightly different playbooks.  The root of this difference is sexual selection in that adaptions and behaviors that optimize the chance...

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Issues Surrounding Men’s Health - Part 2 show art Issues Surrounding Men’s Health - Part 2

seX & whY

Show Notes for Episode Twenty-Three of seX & whY: Issues Surrounding Men’s Health, Part 2 Host: Jeannette Wolfe Guests: Peter Baker –   Twitter: Dominick Shattuck has a PhD in psychology and does Global Health Work at Johns Hopkins Bloomberg School of Public Health              Main topics discussed: Challenges and barriers associated with optimizing men’s mental health and the role of men in reproductive health-related issues. Men’s mental health is important not just for men but for the health of communities....

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Issues Surrounding Men’s Health - Part 1 show art Issues Surrounding Men’s Health - Part 1

seX & whY

Show Notes for Episode Twenty-Three of seX & whY: Issues Surrounding Men’s Health, Part 1 Host: Jeannette Wolfe Guests: Peter Baker –   Twitter: Dominick Shattuck has a PhD in psychology and does Global Health Work at Johns Hopkins Bloomberg School of Public Health              Here is a  of Peter Baker’s publications including  Here is a  of Dominick Shattuck’s publications Take home points Somewhat ironically even though most major health related organizations are dominated by men in...

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Sex, Drugs, and Rats show art Sex, Drugs, and Rats

seX & whY

Show Notes for Episode Twenty-Two of seX & whY: Sex, Drugs, and Rats Host: Jeannette Wolfe Guest: Dr Irv Zucker, Faculty at UC Berkley since 1966. Interests include behavioral endocrinology, chronobiology, and sex differences in pharmacology General discussion Many times, the worlds of basic science and human clinical trials do not overlap to the degree that they should. Greater coordination between the two silos, especially as it comes to the examination of sex differences, would likely produce more robust, higher quality science that would benefit a greater number of...

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Sex and Gender Differences in Opioid Use Disorder show art Sex and Gender Differences in Opioid Use Disorder

seX & whY

Show Notes for Episode Twenty-One of seX & whY: Opioid Use Disorder Host: Jeannette Wolfe Guests: Dr Alyson McGregor, author of Sex Matters: How Male-Centric Medicine Endangers Women's Health and What We Can Do About It Dr Lauren Walter Here is link to American Psychiatric Association DSM 5 diagnosis for opioid use disorder from the . Essentially the disorder is defined by continued craving and use of opioids despite significant social and professional consequences caused by its use. This podcast is on sex and gender differences in opioid use disorder. Although sex (s) and gender (g) are...

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Interview With Dr Shirin Heidari Part 2: Gendro - Advancing Sex and Gender Equity in Science Research show art Interview With Dr Shirin Heidari Part 2: Gendro - Advancing Sex and Gender Equity in Science Research

seX & whY

Show Notes for Episode Twenty of seX & whY: Interview With Dr Shirin Heidari Part 2: Gendro - Advancing Sex and Gender Equity in Science Research Host: Jeannette Wolfe Guest: Shirin Heidari PhD, virologist and experimental oncologist, founding President of Gendro. Part 2 of Interview with Dr Shirin Heidari This podcast focuses on Dr Heidari’s work on systematically integrating the variables of sex and gender into different access points along the research pipeline. She helped start an organization called  which is dedicated to this mission.  The three major gatekeeping posts...

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More Episodes

Show Notes for Podcast Ten of seX & whY

Host: Jeannette Wolfe

Guests: Adam Kellogg, Associate residency directory and medical education fellowship director UMMS - Baystate and Mike Gisondi, Vice-chair of education at Stanford

Topic: How to Give Better Feedback

What is bad feedback -

  • Vague
  • Nonactionable
  • Feedback on non-malleable attributes - like gender, age
  • Sandwich model
  • Done in public place in front of peers

Know what role you are playing (from Thanks for the Feedback)

  • Cheerleading: encouragement
  • Coach: real time pointers
  • Evaluator: comparison of performance to peers or expected benchmark

We are most effective giving and receiving feedback if expectation of roles match up - ie a novice putting in their first central line needs a coach not an evaluator. 

Radical Candor- Develop as a Leader and Empower your Team by Kim Scott

  • Caring personally
  • Challenging directly

Feedback formula by Lisa Stefanar KSE leadership

  • Ask permission
  • State intention (be a better doctor)
  • State behavior
  • Describe impact
  • Inquire about learner experience
  • Identify desired change 

General tips

  • Feedback is also received best if the learner has a sense of belonging and a believe that you recognize their potential
  • Is it the right time (asking them helps)
  • Praise in public, give tough feedback in private
  • Label it - as in “I’d like to give you feedback, is now a good time?”
  • If you anticipate that you might get emotional during feedback, prepare and practice a response. For example, “I obviously have a powerful response to this information could we please take a 5 min break and regroup”
    • Emphasize your desire to hear feedback
    • If needed ask for clarification
  • If you are giving feedback and the other person becomes emotional
    • Consider using “Name and Tame strategy
      • “Last time I gave you feedback, I noticed that you did…….. and I have to tell you, honestly now I’m a little more hesitant. As I want you to be the best doc you can be, is there a particular way that would work best for you to receive feedback?”
    • Switch-tasking- many times conversations can change
      • Recognize which conversation you are going to tackle
        • The one about a specific behavior
        • The one about an emotional tag 

Suggested books

Thanks for the Feedback- Douglas Stone Sheila Heen

Radical Candor by Kim Scott

Articles by Mike Gisondi and Lisa Stefanac and the Feedback Formula

https://icenetblog.royalcollege.ca/2018/10/02/the-feedback-formula-part-1-giving-feedback/

https://icenetblog.royalcollege.ca/2018/10/23/the-feedback-formula-part-2-receiving-feedback/ 

Wise feedback intervention: https://www.apa.org/pubs/journals/releases/xge-a0033906.pdf

Harvard Business School article on gender differences in receiving feedback https://hbr.org/2016/04/research-vague-feedback-is-holding-women-back

Harvard Business School article with deals with managing emotional response to feedback

https://hbr.org/2016/09/how-to-give-feedback-to-people-who-cry-yell-or-get-defensive