  
Improvement Focused Feed Forward Policy
Clinical Rotations
February 2003
Our goal is that students should take responsibility for their
own development and seek continuous improvement over the course
of their careers. They should respond to constructive feedback
from faculty and residents’ evaluations of their clinical
skills and professionalism.
End of clerkship/selective/elective evaluation for all students.
Should include behavioral anchors for ranking knowledge, skills,
attitudes, and professional behaviors. Our goal should be for
faculty to always give a candid assessment so that students’ progress
can be followed over time.
Improvement focused feed forward for selected students
Deficit is thought to be remediable
Student acknowledges and has insight into the nature
of the deficit
Student agrees that feed forward proceed
Procedure for feed forward
Clinical course directors who identify the deficit
and believe that it should be fed forward will complete
the attached form (to be drafted soon) as soon as possible
Form will be conveyed to the Educational Resources
Coordinator in the Office of the Associate Dean for Student
Affairs who will
Get written permission (or refusal: see
below) from the student
Retain the form in her/his office only
until the student graduates or leaves the
School of Medicine.
Offer assistance to the student for remediation
of the identified problems including academic
assistance, identification of resources,
study strategies.
Feed forward will be shared only with the first future clinical site
director (where possible who does not have a direct evaluative role)
who will determine how best to help the student improve (e.g. select
particular preceptor), but will not share feed forward with other faculty
and residents unless specifically permitted by student
If subsequent clinical faculty note deficiencies, they
may submit independent forms.
Educational Resources Coordinator will monitor the
forms as indicators of academic progress. If two or more
forms are received, she will alert the Associate Dean
for Student Affairs who will review the situation to
determine if additional assistance or intervention is
warranted.
For students who decline permission to feed forward
The signed refusal will be kept by the Educational Resources
Coordinator in the Office of the Associate Dean for Student
Affairs until student graduates or leaves the School of Medicine
As always the student will be evaluated on performance
If a student’s academic difficulty results in review
by the Student Promotions Committee, the forms will be available
to be inspected as part of that review.
Student’s decision to refuse feed forward can be
overridden if clinical faculty, in consultation with clerkship
director and other senior faculty, determine that deficit
represents a threat to patient safety. In cases of refusal,
lack of acknowledgement, or lack of insight where patient
or staff safety may be at risk, other procedures may be invoked,
such as Honor Court investigation, Student Promotions Committee
review, Administrative Leave Policy, Incident Report, or
other appropriate University policy.
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