G - Goal
O - Objectives
F - Framework
E - Evaluation
R - Revision
THE RIME MODEL OF FEEDBACK
[Based on Pangaro, L.N. (1999). A New
Vocabulary and Other Innovations for Improving the Descriptive Evaluation
of Students, Academic Medicine 74: 1203-1207]
SKILLS
WHEN PROFICIENCY
EXPECTED
REPORTER -
Collects and Reports Data
Accurately conducts patient history
Third year UME*
Performs basic physical examination
Third year UME
Recognizes normal and abnormal
Third year UME
Clearly organizes and communicates data orally and in writing
Third to fourth year UME
Demonstrates reliability, responsibility, and respect for patient's
values
Third year UME
INTERPRETER -
Explains and Prioritizes Data
Priorizes patient problems
Third year UME
Interprets abnormal findings and test
Intern
Creates, ranks, and justifies differential diagnoses
Fourth year UME
MANAGER -
Selects Disgnostic and Treatment Options
Chooses and justifies appropriate diagnostic tests and treatment
plans
Intern to residency
Customizes plans based on patient's needs and values
Intern
Modifies plans based on results and response to treatment
Residency
EDUCATOR -
Identifies and Addresses Knowledge Gaps
Identifies knowledge gaps and addresses them
Third year UME
Practices evidence-based medicine
Residency
Evaluates the quality of evidence found
Residency
Accepts responosibility for educating the term
Residency
*UME = Undergraduate Medical Eduation
Teacher & Educational Development,
University of New Mexico School of Medicine, 2002