| How do physicians assess their family physician colleagues' performance?: creating a rubric to inform assessment and feedback. | |
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MedLine Citation:
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PMID: 21671274 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The Colleges of Physicians and Surgeons of Alberta and Nova Scotia (CPSNS) use a standardized multisource feedback program, the Physician Achievement Review (PAR/NSPAR), to provide physicians with performance assessment data via questionnaires from medical colleagues, coworkers, and patients on 5 practice domains: consultation communication, patient interaction, professional self-management, clinical competence, and psychosocial management of patients. Physicians receive a confidential report; the intent is practice improvement. However, research indicates that feedback from medical colleagues appears to be less understood than that from coworkers or patients, due to a lack of specificity and concerns regarding feedback credibility. The purpose of this study was to determine how physicians make decisions about performance ratings for family physician (FP) colleagues in the 5 practice domains. METHODS: This was an exploratory qualitative study using focus groups-one with 11 family physicians and one with 12 specialists-who had served as NSPAR "medical colleague'' reviewers. We analyzed focus group transcripts using content analysis. RESULTS: Family and specialist physicians provided examples of behaviors indicative of both high- and low-scoring performance for items within the 5 practice domains. From these, an assessment rubric was created to inform both external reviewers and the physicians being reviewed of performance expectations. Reviewers reported using varied sources of information to make assessments, including shared patients, medical records, referral letters, feedback from others, and self-reference. DISCUSSION: The CPSNS has used the assessment rubric to create an online resource to inform medical colleague assessment and enhance the usefulness of their NSPAR scores. Further research will be required to determine its impact. |
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Authors:
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Joan Sargeant; Tanya Macleod; Douglas Sinclair; Mary Power |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: The Journal of continuing education in the health professions Volume: 31 ISSN: 1554-558X ISO Abbreviation: J Contin Educ Health Prof Publication Date: 2011 |
Date Detail:
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Created Date: 2011-06-14 Completed Date: 2011-10-28 Revised Date: 2012-05-01 |
Medline Journal Info:
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Nlm Unique ID: 8805847 Medline TA: J Contin Educ Health Prof Country: United States |
Other Details:
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Languages: eng Pagination: 87-94 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education. |
Affiliation:
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Research and Evaluation, Continuing Medical Education, Dalhousie University, Halifax. joan.sargeant@dal.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Alberta Clinical Competence Family Practice* Female Focus Groups Humans Interprofessional Relations Knowledge of Results (Psychology)* Male Medicine Nova Scotia Peer Review, Health Care / methods* Physician-Patient Relations Questionnaires* Reproducibility of Results |
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