Feedback vs. evaluation: Getting past the reluctance to deliver negative feedback

Keith Baker

When Dr. Keith Baker, Associate Professor of Anaesthesia at Harvard Medical School and Director of the Anesthesia Residency Program at Massachusetts General Hospital, gives medical residents feedback, he emphasizes a “learning orientation” (where the goal is mastery), rather than a “performance orientation” (where the goal is validation of abilities).

The benefits: Framing feedback with a learning orientation creates a supportive learning environment where the instructor and student share the goal of improvement and believe that effort and strategy are the tools to achieve it. Feedback is diagnostic information used to know what and how to improve. “A learning orientation is critical for tolerating negative feedback and strongly influences how you give and receive feedback.”