Background
High-quality trainee evaluations of faculty are essential for meaningful
faculty development and for improving the clinical learning environment.
However, concerns about anonymity can limit usefulness of trainee
evaluations, particularly in smaller programs, such as subspecialty
fellowships.
Objective
To develop and implement a fellow-driven group evaluation process to enhance
trainee confidentiality and generate high-quality feedback for pulmonary and
critical care medicine faculty.
Methods
A novel process was developed for faculty evaluation and feedback consisting
of quarterly, structured, fellow-led group evaluation sessions focused on
collecting confidential, behaviorally oriented, actionable feedback for
faculty. Upper-year fellow moderators utilized a standard format to
structure discussion, generating strengths and areas for growth for each
faculty member while explicitly asking for input from fellows with divergent
perspectives. Moderators compiled anonymized session notes for the program
director, who delivered feedback to individual faculty. After the first six
sessions, an electronic survey was distributed to assess fellow perceptions
of the group evaluation model.
Results
Thirty-seven faculty members were evaluated in 11 group sessions over
42 months. Fellows rated group-generated feedback as more
confidential, more specific, more accurate, more efficient, more actionable,
and less biased when compared with individual written evaluations
(
P
< 0.01 for all categories).
Conclusion
The authors successfully developed and implemented a process for fellow-led
group evaluation of faculty, designed to facilitate fellow confidentiality
and enrich the quality of feedback. Fellows preferred the group evaluation
process and perceived group-generated feedback more favorably compared with
individual written evaluations.