For clinical instructors, applying this model can significantly enhance feedback sessions. Here’s how it might look in practice:

Corrective feedback example

Situation

Initiate with a clear reference to the observed event. E.g., “In today’s medication round, when you were administering the IM injection to Mr. Smith…”

Behavior

Detail the behavior without bias. E.g., “I noticed you didn’t fully explain the procedure to the patient before administering the injection, and your technique seemed hurried”

Impact

Clarify the consequences of the behavior. E.g., “Mr. Smith seemed anxious, uncomfortable and surprised that he was getting an injection”

Positive feedback example

Situation

“This morning, when you were giving medications…”

Behavior

“You checked the patient’s ID carefully and explained the meds clearly.”

Impact

“This made sure the patient got the right treatment and felt informed. Great work!”

This feedback is concise and gets straight to the point, highlighting the student’s correct actions and their positive impact on patient care.

After laying out the SBI framework, discuss possible improvements and collaboratively develop a plan for skill enhancement, including practice sessions, additional readings, or setting specific objectives for future clinical tasks. This approach not only clarifies areas for improvement but also empowers students to actively engage in their learning journey, fostering a more enriching educational experience.

How do you use the SBI (situation, behavior, impact) model to deliver clear and specific feedback?