Table 5 A three-step approach to giving cognitive and metacognitive feedback in history taking
Step | Description of step |
|---|---|
1 Notice your emerging inferences & link them to behaviour | As a supervisor be aware of the observed patient’s experience and how you yourself experienced the situation. Be also aware of underlying observations of behaviour that caused your experience. |
2 Metacognitive Feedback | Phrase a mentalizing prompt drawing the student’s attention to the patient’s experience. - Listen to student’s answer Describe how you interpret patient’s experience (or have other observers describe their interpretations) to stimulate comparison between student’s interpretation, external interpretations and knowledge and beliefs about favourable patient experiences. |
3 Cognitive feedback | If necessary: Phrase an observation prompt drawing the student’s attention to the underlying behavioural issues. - Listen to student’s answer Describe the observed behaviour (or have other observers describe their observations) to stimulate comparison between observed behaviour and knowledge and beliefs about effective behaviour. |