Performance Reviews Reconsidered - Elevating Outcomes Through Humanized Systems

MedEdPearls March 2022: How might recalibrating performance reviews as future-focused, collaborative conversations help shift from traditional metrics to a more human-centered approach to growth and development?

How do we do this? One solution is to recalibrate “performance reviews” as future-focused, collaborative, goal-setting conversations—those that will motivate individuals (humans) to envision a future beyond traditional outcomes measures—to wonder and dream. Modernizing the performance review “system” is an important step for taking our organizations to a new level from the ground up.   This may mean elevating and redefining metrics for performance, beyond strictly business or work-related units of measure like RVU calculations or faculty work load.

What could this look like? Scholars are increasingly examining the psychological needs of workers including, autonomy, competence, and relatedness, among others, and during a pandemic, these needs were heightened, yet often blurry. So now, more than ever before, we have an opportunity to pay attention to the messages we send, or don’t send, in our performance conversations.

Asking better questions during our reviews is an investment that helps people feel and be seen. Bringing better questions to performance conversations is also “power agnostic”—anyone can enrich performance outcomes through questions and conversations that matter. 

Connecting as humans, not machines or cogs, we can interrupt our everyday biases, and pursue clarity and focus around additional needs, roles, and dialogues--such as mentor, advisor, sponsor, or coach--which only expands the possibilities of promising results.

A drawing of a heart.

Where do we start?  To move forward with this elevated practice, some possible questions include:

  • What are examples of work you love doing right now?
  • What do you envision for your next career step?
  • What professional development or learning would help you?
  • How can we align our goals and efforts?
  • What kind of outcomes do you envision or dream about?
  • How is our team work?
  • How can we make our systems more equitable?

Download your own one-page idea guide to enrich your performance conversations. Then, let’s connect!


Linda M. Love Headshot.

Linda M. Love, EdD is a health professions educator and organizational developer. She is the Director of Faculty Development, an Interprofessional Academy of Educators Scholar, and Associate Professor in the Department of Psychiatry at the University of Nebraska Medical Center. Linda’s areas of professional interest include career development and professional identity development of medical educators, developing new generations of health professions educational leaders, teaching and learning in the Information Age, and advancing systems that provide better sources of data to make the best decisions about growing faculty in the modern day.  Linda can be followed on Twitter or LinkedIn or contacted via email.

Additional Information

The MedEdPearls are a collaborative, peer-reviewed, monthly brief intended to provide practical tips and strategies for medical and health professions educators to enhance teaching and learning.

  • Jean Bailey, PhD – Virginia Commonwealth University School of Medicine
  • Carrie Bowler, EdD, MS, MLSCM (ASCP) – Mayo Clinic School of Continuous Professional Development
  • Kristina Dzara, PhD, MMSc (Educators ’16; Assessment ’16; HCE 2.0 ’17) – Saint Louis University School of Medicine
  • Shanu Gupta, MD, SFHM – University of South Florida Morsani College of Medicine and Tampa General Hospital
  • Jennifer Hillyer, PhD – Northeast Ohio Medical University
  • Larry Hurtubise, PhD, MA (HCE 2.0 '16) – The Ohio State University
  • Anna Lama, EdD, MA – West Virginia University School of Medicine
  • Machelle Linsenmeyer, EdD, NAOME (Assessment ’07) – West Virginia School of Osteopathic Medicine
  • Skye McKennon, PharmD, BCPS, ACSM-GEI – Washington State University Elson S. Floyd College of Medicine
  • Rachel Moquin, EdD, MA – Washington University School of Medicine
  • Stacey Pylman, PhD – Michigan State University College of Human Medicine
  • Leah Sheridan, PhD – Northeast Ohio Medical University
  • Lonika Sood, MBBS, MHPE – Washington State University Elson S. Floyd College of Medicine
  • Mark Terrell, EdD – Lake Erie College of Osteopathic Medicine
  • Stacey Wahl, PhD – Virginia Commonwealth University School of Medicine

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