Summary: In this episode, host Dr. Irtaza Asar and Dr. Brian Merritt discuss the critical role of on-shift feedback in medical education, exploring why it often falls short and how to improve its delivery. They delve into the challenges educators face, effective strategies for providing timely and constructive feedback, and the importance of setting specific goals for learners. The conversation also addresses how to support senior residents and struggling learners, and highlights various resources and frameworks that can enhance the feedback process. Ultimately, the episode emphasizes the need for a culture of growth and open communication in medical training.   Takeaways: Feedback is essential for learner growth. Timeliness and structure are key to effective feedback. Setting specific goals enhances the feedback process. Senior residents require different feedback strategies. Struggling learners need actionable and specific feedback. Creating a safe space for feedback encourages openness. Feedback should be a collaborative process. Utilizing resources can improve feedback delivery. Mentorship is about guiding rather than overseeing. Consistency in feedback leads to better outcomes.