Feedback in GME
The structured communication of performance information to residents and fellows to support their development and competency progression.
Definition
Feedback in Graduate Medical Education refers to the specific, timely, and actionable communication of performance information to residents and fellows. Effective feedback in GME is based on direct observation, is given close in time to the observed performance, identifies specific behaviors rather than general impressions, and is focused on development rather than evaluation. ACGME expects programs to have a culture of feedback and systems to ensure residents receive regular, meaningful feedback from faculty.
Why it matters for your program
Feedback is frequently identified by residents as one of the most lacking aspects of their training — and by ACGME as one of the most common program deficiencies. Faculty who give only vague, positive feedback or who avoid difficult conversations undermine resident development and create risk when residents reach the point of remediation or non-advancement. Building a genuine feedback culture requires faculty development, not just policy.
Related terms
Milestones
Competency-based developmental markers that describe what residents and fellows are expected to achieve at defined stages of training.
Clinical Competency Committee (CCC)
A required committee responsible for reviewing resident and fellow performance and making milestone determinations semiannually.
Faculty Development in GME
Structured programs and activities designed to improve the teaching, assessment, leadership, and professional skills of GME faculty.
Direct Observation
The practice of faculty directly watching a resident perform a clinical skill or procedure and providing structured feedback based on that observation.
Related Service
Faculty Development Programs
Ashley Wood, PhD helps programs navigate feedback in gme requirements with director-level expertise from HCA Healthcare and Vanderbilt.
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