Common models and approaches for the clinical educator to plan effective feedback encounters
Open accessAbstract
Giving constructive feedback is crucial for learners to bridge the gap between their current performance and the desired standards of competence. Giving effective feedback is a skill that can be learned, practiced, and improved. Therefore, our aim was to explore models in clinical settings and assess their transferability to different clinical feedback encounters. We identified the 6 most common and accepted feedback models, including the Feedback Sandwich, the Pendleton Rules, the One-Minute Preceptor, the SET-GO model, the R2C2 (Rapport/Reaction/Content/Coach), and the ALOBA (Agenda Led Outcome-based Analysis) model. We present a handy resource describing their structure, strengths, and weaknesses, requirements for educators and learners, and suitable feedback encounters for use for each model. These feedback models represent practical frameworks for educators to adopt but also to adapt to their preferred style, combining and modifying them if necessary to suit their needs and context.
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Some medical education literature continues to endorse structured feedback models like the 'feedback sandwich'.
“Despite this understanding, some medical education literature continues to endorse structured feedback models like the 'feedback sandwich' [83,84].”
From Formative assessment and feedback in medical education: A practical guide: AMEE Guide No. 189 (2026) · cites this paper as [83]
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Cites
Feedback in Clinical Medical Education
Ende, J. (1983) · JAMA · doi:10.1001/jama.1983.03340060055026 · Cited by 1,259 · see citing works
Veloski, J., Boex, J. R., Grasberger, M. J., Evans, A., & Wolfson, D. B. (2006) · Medical Teacher · doi:10.1080/01421590600622665 · Cited by 500 · see citing works
A five-step "microskills" model of clinical teaching.
Neher, J. O., Gordon, K. C., Meyer, B. A., & Stevens, N. G. (1992) · PubMed · Cited by 497 · see citing works
Giving feedback in clinical settings
Cantillon, P., & Sargeant, J. (2008) · BMJ · doi:10.1136/bmj.a1961 · Cited by 460 · see citing works
Sargeant, J., Lockyer, J., Mann, K., Holmboe, E., Silver, I., Armson, H., Driessen, E., MacLeod, T., Yen, W., Ross, K., et al. (2015) · Academic Medicine · doi:10.1097/acm.0000000000000809 · Cited by 306 · see citing works
Feedback in the clinical setting
Burgess, A. W., van Diggele, C., Roberts, C., & Mellis, C. (2020) · BMC Medical Education · doi:10.1186/s12909-020-02280-5 · Cited by 289 · see citing works
Why medical educators may be failing at feedback.
Bing-You, R. G. (2009) · JAMA · doi:10.1001/jama.2009.1393 · Cited by 224 · see citing works
Learning to give feedback in medical education
Chowdhury, R. R., & Kalu, G. (2004) · The Obstetrician & Gynaecologist · doi:10.1576/toag.6.4.243.27023 · Cited by 119 · see citing works
Should You Order the Feedback Sandwich? Efficacy of Feedback Sequence and Timing
Henley, A. J., & Reed, F. D. D. (2015) · Journal of Organizational Behavior Management · doi:10.1080/01608061.2015.1093057 · Cited by 73 · see citing works
Orsini, C. A., Binnie, V. I., Wilson, S. L., & Villegas, M. J. P. (2017) · European Journal Of Dental Education · doi:10.1111/eje.12277 · Cited by 56 · see citing works
Self-citationBahar-Özvarış, Ş., Aslan, D., Sahin‐Hodoglugil, N., & Sayek, İ. (2004) · Teaching and Learning in Medicine · doi:10.1207/s15328015tlm1604_11 · Cited by 33 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- [9]Glasheen JJ Guerrasio J Wiese J Feedback, evaluation, and remediation on the inpatient service Wiese J Teaching in the hospital Philadelphia (PA) ACP Press 2010 145 161
- [11]Pendleton D The consultation: an approach to learning and teaching Oxford Oxford University Press 1984
- [13]Silverman JD Draper J Kurtz SM The Calgary-Cambridge approach to communication skills teaching II: the SET-GO method of descriptive feedback Educ Gen Pract 1997 8 16 23
- [15]Silverman J Kurtz S Draper J The Calgary-Cambridge approach to communication skills teaching I: Agenda-led outcome-based analysis of the consultation Educ Gen Pract 1996 4 288 299
- [16]Tuma F Nassar Ak Feedback in medical education Treasure Island (FL) StatPearls Publishing 2022 31335031
Cited by
Sorted by citations
Formative assessment and feedback in medical education: A practical guide: AMEE Guide No. 189
Lipnevich, A. A., Mattern, K., & Feddock, C. (2026) · Medical Teacher · doi:10.1080/0142159x.2025.2569623 · Cited by 37 · see citing works
Fernandes, R. D., de Vries, I., McEwen, L. A., Mann, S. M., Phillips, T., & Zevin, B. (2024) · Annals of Surgery · doi:10.1097/sla.0000000000006308 · Cited by 31 · see citing works
Navigating power dynamics between pharmacy preceptors and learners
Tolleson, S., Truong, M., & Rosario, N. (2024) · Exploratory Research in Clinical and Social Pharmacy · doi:10.1016/j.rcsop.2024.100408 · Cited by 7 · see citing works
Ramani, S., Armson, H., Hanmore, T., Lee-Krueger, R. C. W., Könings, K. D., Ordons, A. R. D., Zetkulic, M., Sargeant, J. M., & Lockyer, J. (2025) · Perspectives on Medical Education · doi:10.5334/pme.1368 · Cited by 6 · see citing works
Elemam, R. F., & abdelaal, H. (2025) · BMC Medical Education · doi:10.1186/s12909-025-07842-z · Cited by 6 · see citing works
Hosseinpour, A., Nasiri, M., Keshmiri, F., Arabzadeh, T., & Sharafi, H. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05598-6 · Cited by 5 · see citing works
Feedback conversations: First things first?
Robb, K., Rosenbaum, M., Peters, L., Lenoch, S., Lancianese, D. A., & Miller, J. L. (2023) · Patient Education and Counseling · doi:10.1016/j.pec.2023.107849 · Cited by 5 · see citing works
Ishman, S. L., & Francis, C. L. (2025) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2025.06.005 · Cited by 4 · see citing works
Informal learning of ICU new graduate registered nurses: An interpretive phenomenological analysis
Liu, C., Yang, Y., Zhang, Q., & Ma, Y. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106588 · Cited by 4 · see citing works
Feedback in Medical Education—Its Importance and How to Do It
Babar, T., & Awan, O. A. R. (2024) · Academic Radiology · doi:10.1016/j.acra.2024.03.021 · Cited by 3 · see citing works
Ng, I. K., Goh, W. G. W., Tan, L. F., Teo, D. B. S., Toh, A. Y. P., & Ngiam, N. S. P. (2025) · Medical Teacher · doi:10.1080/0142159x.2025.2473602 · Cited by 3 · see citing works
Khalafi, A., Choopani, S., Sarmeydani, N. S., & Maraghi, E. (2025) · Health Science Reports · doi:10.1002/hsr2.70358 · Cited by 2 · see citing works
Charles, K. A., Pairman, L., Moon, E., Wong, D., Quayle, J., WILKINSON, T. J., Doogue, M. P., & Chin, P. K. L. (2025) · British Journal of Clinical Pharmacology · doi:10.1002/bcp.70126 · Cited by 2 · see citing works
Assadi, R. A., Beshir, S. A., Shahiwala, A., & Baig, M. (2025) · International Journal of Pharmacy Practice · doi:10.1093/ijpp/riaf057 · Cited by 2 · see citing works
Le, K., Deng, C., & Le, K. D. R. (2025) · MedEdPublish · doi:10.12688/mep.21363.2 · Cited by 2 · see citing works
Le, K., Deng, C., & Le, K. D. R. (2026) · MedEdPublish · doi:10.12688/mep.21363.3 · Cited by 2 · see citing works
Karimijavan, G., Alizadeh, M., Ranjbar, F., Ghaffarifar, S., & Karimi, S. E. (2026) · BMC Medical Education · doi:10.1186/s12909-026-08601-4 · Cited by 2 · see citing works
Faculty development for supervisors of medical student rural attachments in Zimbabwe
Makoni, F., Mafi, Z., & Ray, S. C. (2024) · African Journal of Primary Health Care & Family Medicine · doi:10.4102/phcfm.v16i1.4641 · Cited by 2 · see citing works
Hartuique, H. C. D. O. D. C., Garcia, C. L., Figueiredo, A. B., Araújo, V. S., Rocha, M. D. A., de Carvalho, L. M., Gusso, G. D. S. P., & Coelho, H. R. (2025) · Saúde Coletiva (Barueri) · doi:10.36489/saudecoletiva.2025v15i94p15399-15424 · Cited by 2 · see citing works
Beyond Frameworks: An Interpretive Description of Engaging in Debriefer Feedback Conversations
Epp, H., Egert, A. G., Munday, J., Law, J., & Kim, H.-S. (2025) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/sih.0000000000000887 · Cited by 1 · see citing works
Moore, G., Hegeholz, D., Sun, T., Weaver, M. L., Ward, E. P., Mabes, E. S., & Jaiswal, K. R. (2026) · Global Surgical Education - Journal of the Association for Surgical Education · doi:10.1007/s44186-026-00542-2 · Cited by 1 · see citing works
Nebhinani, N., Singhai, K., Kaur, H., Mohanram, A., Tekkalaki, B. V., & Kishor, M. R. (2025) · Indian Journal of Psychological Medicine · doi:10.1177/02537176251355121 · Cited by 1 · see citing works
Sawar, K., & Chung, K. C. (2025) · Hand Clinics · doi:10.1016/j.hcl.2024.12.015
Shabbir, J., Riaz, Q., & Sohail, S. (2025) · International Endodontic Journal · doi:10.1111/iej.14230
Entre la sanidad y la educación. El papel de la pedagogía en el cambio de paradigma sanitario
Gregorio, L. S., & Martín, M. D. R. G. (2025) · Bordón. Revista de pedagogía · doi:10.13042/bordon.2025.108150
How to Maximize Effective Feedback and End-of-Course Evaluations
Kogan, J. R. (2025) · Springer eBooks · doi:10.1007/978-3-031-91745-5_13
Student Preferences for Feedback Delivery in Healthcare Education: A Cross-Sectional Survey
Wong, P. N., & Wong, P. S. (2025) · Cureus · doi:10.7759/cureus.91442
Learning with Peers in Higher Education: Exploring Strengths and Weaknesses of Formative Assessment
Parmigiani, D., Nicchia, E., Pario, M., Murgia, E., Radović, S., & Ingersoll, M. (2025) · Trends in Higher Education · doi:10.3390/higheredu4030048
Voronovi, S., Yang, D.-Y. D., & Taylor, D. (2025) · Medical Teacher · doi:10.1080/0142159x.2025.2568050
Le, K., Deng, C., & Le, K. D. R. (2025) · MedEdPublish · doi:10.12688/mep.21363.1
Constructive Conversations: Mastering the Exchange of Feedback
Mathis, K. L. (2025) · Clinics in Colon and Rectal Surgery · doi:10.1055/s-0045-1813683
Carlson, E. R., & Britt, L. (2025) · Journal of the American College of Surgeons · doi:10.1097/xcs.0000000000001723
Hosseinpour, A., Nasiri, M., Keshmiri, F., Arabzadeh, T., & Sharafi, H. (2024) · Figshare · doi:10.6084/m9.figshare.26726099
Hosseinpour, A., Nasiri, M., Keshmiri, F., Arabzadeh, T., & Sharafi, H. (2024) · Figshare · doi:10.6084/m9.figshare.26726102
The power of metaphor in medical education: fostering shared understanding in complex conversations
Johnston, A., Andrawis, S., Perez, G., Ram, V., & Ogbeide, S. (2025) · Frontiers in Medicine · doi:10.3389/fmed.2025.1703741
Le, K., Deng, C., & Le, K. D. R. (2026) · MedEdPublish · doi:10.12688/mep.21363.4
Sauer, T., & Seifart, C. (2026) · Ethik in der Medizin · doi:10.1007/s00481-026-00911-x
Evaluation of a Professionalism and Ethics OSCE (PESCE) to Navigate Ethically Challenging Situations
Carter, P., & Benson, O. (2026) · The Clinical Teacher · doi:10.1111/tct.70440
Betancuer, Y. L., Muñoz, W. A. V., Gallego-Quintero, S., Higuita‐Gutiérrez, L. F., & Ramírez, D. A. M. (2026) · doi:10.2196/preprints.102405
Successful communication with the patient begins with the professional’s inner state
Alecu, A. (2026) · The Romanian Journal of Nutrition. · doi:10.26416/journutri.10.2.2026.11614
Zhong, L., Zhou, C., Miao, J., Dong, J., Luo, L., Liu, C., & Li, Y. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1869574
Optimising feedback provision and literacy in medical training: linking theory to practice
Ng, I. K., Goh, W. G. W., Lin, N. H. Y., Gan, M. Y., Teo, D. B. S., Tan, L. F., Low, Y. L., Aw, M., & Kee, A. C.-L. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1883679
- Authors
- Orsini, C., Rodrigues, V., Tricio, J., & Rosel, M.
- Affiliations
- University of East Anglia (GB)
- Universidad de Los Andes, Chile (CL)
- Venue
- Journal of Educational Evaluation for Health Professions
- Published
- 2022-12-19
- Volume
- 19
- Pages
- 35
- ISSN
- 1738-1339 (ISSN-L)
- 1975-5937
- PMC
- PMC9842479
- OpenAlex
- W4312065213
- Cited by
- 42
- References
- 11
- Citations by year
- 2026: 10 · 2025: 24 · 2024: 7 · 2023: 1
- FWCI
- 7.06
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of Educational Evaluation for Health Professions (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Social Sciences › Education › Student Assessment and Feedback
- Keywords
- constructive feedback, feedback model, clinical teaching, clinical instructors, One-Minute Preceptor, learner competence
- MeSH terms
- Formative Feedback, Clinical Competence, Feedback, Humans, Learning
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