Challenges in multisource feedback: intended and unintended outcomes

Abstract

Findings suggest circumstances that may contribute to low consequential validity of MSF for doctors. Implications for practice include enhancing procedural credibility by ensuring reviewers' ability to observe respective behaviours, enhancing feedback usefulness by increasing its specificity, and considering the use of more objective measures of clinical competence.

Triangulation of written assessments from patients, teachers and students: Useful for students and teachers?

“…If the students never summarized their quantitative data, StudentPEP results may have served like loose ends instead of being useful feedback. It has been found that facilitated reflection is helpful to assimilate and accept feedback given in multisource feedback sessions (Sargeant et al 2007). We have not done a qualitative analysis of the content or techniques used to foster reflection in such discussions.…”

Experiencing patient-experience surveys: a qualitative study of the accounts of GPs

“…18 However, doctors may not be inclined to use feedback for improvement, 25 with particularly few changes being made in response to positive feedback. 18 This study revealed difficulties in the interpretation of survey results because of the perceived low credibility and simplicity of numeric scores.…”

“…18 However, doctors may not be inclined to use feedback for improvement, 25 with particularly few changes being made in response to positive feedback. 18 This study revealed difficulties in the interpretation of survey results because of the perceived low credibility and simplicity of numeric scores. Similar findings have Characteristics of effective feedback 17,[23][24] Practitioner views on patient experience surveys been reported in relation to the use of multisource feedback for physicians, where factors such as low credibility and the importance of opportunities for constructive reflection affect whether feedback has positive impacts.…”

“…16 The variable impact of this sort of 'feedback' has been noted as a neglected issue, 17 because of potential unintended negative effects. 18 Given the lack of explicit aims and clear understanding of the effects of patient survey results, this study aimed to examine the perspective of GPs who have engaged with such tools. While located within the UK, the principles underpinning the use of feedback have an international relevance.…”

Co-Worker Assessment and Physician Multisource Feedback

“…MSF is a reliable workplace-based assessment strategy 1 used to collect data on the performance of practicing physicians, and has been used extensively to assess physicians and guide continuing professional development in Canada, 2,3 the USA, 4,5 the UK 6,7 and Europe. 8,9 Generally in a MSF assessment, patients, co-workers (e.g., nurses, technicians, pharmacists), and medical colleagues provide data.…”