The Impact of implementing multisource feedback on behaviors of young doctors

Abstract

Objectives: Multisource feedback (MSF) is a workplace-based assessment tool that offers 360-degree evaluation of the trainee doctor. Little is known about its receptiveness among stakeholders in Pakistan. This study explores house officers’ perceptions regarding MSF since its implementation in Eye Unit-II, Institute of Ophthalmology, King Edward Medical University/ Mayo Hospital, Lahore.
 Methods: A qualitative case study was conducted from July 2019 to February 2020 in Eye Unit II. A purposive (maximum variation) sample of 12 house surgeons was taken. Two focus group discussions were conducted. Data were transcribed and analyzed thematically.
 Results: The study identified the impact of MSF on house surgeons. Most participants reported positive experiences. The feedback they received increased their motivation, management skills and team working. A number of factors affecting the receptiveness of MSF were also identified which mainly included characteristics of raters and emotional response to MSF.
 Conclusion: Multisource Feedback is a useful tool for feedback that impacts the young doctors in many ways. It contributes to increasing their sense of responsibility, management skills and self-directed learning. The improvement in individual abilities and teamwork also helped in improving patient care.
 doi: https://doi.org/10.12669/pjms.37.7.4155
 How to cite this:Ahmad CN, Sethi A, Khan RA. Impact of implementing multisource feedback on behaviors of young doctors. Pak J Med Sci. 2021;37(7):---------. doi: https://doi.org/10.12669/pjms.37.7.4155
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

A quantitative analysis of the perceived barriers to implementation of multisource feedback in surgical training

“…The intention of feedback is to allow an opportunity for trainees to reflect and identify their weaknesses in order to improve upon them. A concern with providing this feedback as a supervisor is whether it may upset the supervisor‐trainee relationship, particularly when negative feedback is provided 9,21 . Supervisors felt that if they provided trainees with ratings that were too negative, there may be consequences for both parties ‐ this is concerning (Fig.…”

“…One common goal among any assessment and evaluation of a trainee is to identify candidates that are performing below the expected standard; to allow an opportunity to implement strategies and help the trainee improve their weaknesses. This goal of assessment conflicts with the potential reluctance to provide honest ratings, and originates from a far more complex social dynamic around supervisor attitudes on multisource feedback 5,9,17,21 . A broader implementation of this instrument with more evaluators would improve the identification of struggling trainees by normalizing the distribution of all trainee scores and identifying outliers rather than being fooled by raw and averaged scores that are seemingly good with ‘all fours and fives’; where in actual fact scoring a four may be well below the average trainee.…”

“…3 Specialities that have begun adopting the multisource feedback instrument include, but not limited, to emergency medicine, internal medicine, paediatrics, psychiatry and radiology. [4][5][6][7][8][9] Implementation of a multisource feedback instrument does not have to be done in a single step. Due to the flexibility of the method, the instrument can be introduced to supervisors first, prior to integrating junior colleagues, nursing staff, allied health and patients to achieve the full comprehensive 360 evaluation.…”

“…It has since been used across various specialities in numerous countries and has demonstrated to be a feasible method to evaluate physician performance in both technical, and non‐technical skills 3 . Specialities that have begun adopting the multisource feedback instrument include, but not limited, to emergency medicine, internal medicine, paediatrics, psychiatry and radiology 4–9 . Implementation of a multisource feedback instrument does not have to be done in a single step.…”

The spectrum of Self-directed learning perceptions among faculty members and students of Bolan University of Medical and Health Sciences

“…Ahmad N et al in his study on multisource feedback (MSF) in young doctors contributes to increase the SDL. 21 Faculty and peers also play a crucial role in guiding and promoting the SDL by offering feedback. Premkumar K et al in his study revealed that faculty members indicated that society and parents have a lot of influence on students' learning, while on other hand some students state that their parents motivate them to study and monitor them, while some said their parents are only concerned with their examination results and are not keen to know about their educational activities.…”