#233 Giving Effective Feedback with Drs. Abby Spencer and Alia Chisty


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By The Curbsiders Inc., Matthew Watto MD, Stuart Brigham MD, and Paul Williams MD. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Listen to our medical education heroes, Dr. Abby Spencer, @abbyCCim (Cleveland Clinic), and Dr. Alia Chisty, @aliachisty (Penn State Health), school us on how to give effective and meaningful feedback! Topics include: the ADAPT framework, how to give difficult feedback, keywords and phrases when giving feedback, how to avoid gender and racial bias when giving feedback, giving feedback to your peers and how to solicit effective feedback as a team leader.

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

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  • Written and Produced by Paul Williams MD, FACP
  • Cover Art: Paul Williams, MD, FACP
  • Infographic: Edison Jyang
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guests: Abby Spencer MD and Alia Chisty MD


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Time Stamps

  • Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
  • Sponsor - VCU Health Continuing Education
  • 00:30 Intro, disclaimer, guest bio, pun
  • 04:00 Guest one-liners, Picks of the Week* (see links below)
  • 10:25 Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
  • 11:00 Case from Kashlak, Feedback definitions
  • 15:00 Addressing perceived barriers to feedback
  • 31:45 ADAPT model of feedback
  • 38:10 Addressing potentially gendered feedback;
  • 42:45 Giving feedback to those who lack insight
  • 48:29 Feedback and racial bias
  • 52:25 Giving peer feedback
  • 58:10 Tips for soliciting feedback as a supervisor
  • 69:05 Does giving difficult feedback mean people won’t like you?
  • 75:10 Take home points and Outro
  • Sponsor - VCU Health Continuing Education


  1. Radical Candor (book)
  2. Host (film)
  3. Percy Jackson & The Olympians: The Lightning Thief movie
  4. Hamilton on Disney Plus
  5. Her (film)

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Listeners will demonstrate effective techniques to deliver and solicit meaningful feedback.

Learning objectives

After listening to this episode listeners will…

  1. Discuss the definitions and terms used to discuss feedback.
  2. Deliver effective feedback that is concordant with the learning goals of their trainees.
  3. Address potential perceived barriers to feedback.
  4. Utilize the ADAPT framework to partner with their learners and develop shared goals.
  5. Develop strategies to mitigate against using gender- or racially-biased narrative language.
  6. Deliver feedback to learners with limited insight by leveraging the impact of perception on achieving goals.
  7. Solicit effective and meaningful feedback despite being in a position of authority


Drs. Spencer and Chisty report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.


Williams PN, Spencer A, Chisty A, Brigham SK, Jyang E, Watto MF. “#233 Giving effective feedback with Abby Spencer and Alia Chisty”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date September 21, 2020.


  1. Ende J. Feedback in Clinical Medical Education. JAMA. 1983. . [https://pubmed.ncbi.nlm.nih.gov/6876333/]
  2. Brown B. 2018. Dare to Lead. Random House.
  3. Stone D and Heen S. 2014. Thanks for the Feedback. Penguin Books.
  4. Scott K. 2019. Radical Candor. St. Martin’s Press.
  5. Fainstad T et al. Feedback can be less stressful: Medical trainee perceptions of using the Prepare to ADAPT (Ask-Discuss-Ask-Plan Together) framework. Cureus. 2018. [https://pubmed.ncbi.nlm.nih.gov/30906679/]
  6. Rojek AE et al. Differences in narrative language in evaluations of medical students by gender and under-represented minority status. J Gen Int Med. 2019. [https://pubmed.ncbi.nlm.nih.gov/30993609/]
  7. Mueller AS et al. Gender differences in attending physicians’ feedback to residents. JGME. 2017. [https://pubmed.ncbi.nlm.nih.gov/29075375/]
  8. Ross, DA et al. Differences in words used to describe racial and gender groups in Medical Student Performance Evaluations. PLoS ONE. 2017. [https://pubmed.ncbi.nlm.nih.gov/28792940/]

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