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Related Experiment Videos

Changing physicians' practices: the effect of individual feedback.

H Fidler1, J M Lockyer, J Toews

  • 1Faculty of Education, University of Calgary, Alberta, Canada.

Academic Medicine : Journal of the Association of American Medical Colleges
|July 1, 1999
PubMed
Summary

Physicians receiving multi-source feedback often contemplated or initiated practice changes, particularly in patient communication and support. Lower feedback ratings correlated with reported changes, indicating feedback utility.

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Area of Science:

  • Medical practice management
  • Physician performance feedback
  • Continuing medical education

Background:

  • Physician practice improvement is crucial for quality healthcare.
  • Multi-source feedback (MSF) offers insights into physician performance from various perspectives.
  • Understanding physician response to feedback is key for effective interventions.

Purpose of the Study:

  • To assess whether physicians alter their medical practices after receiving multi-source feedback.
  • To identify practice aspects most amenable to change based on feedback.
  • To explore physician-identified educational needs for practice modification.

Main Methods:

  • A cohort of 255 physicians reported on changes contemplated or initiated after receiving MSF on 55 practice aspects.

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  • Feedback was aggregated from peers, referring physicians, co-workers, and patients.
  • Multivariate analysis of variance examined the association between feedback ratings and reported practice changes.

    • Main Results:

    • 83% of physicians contemplated change, and 66% initiated changes in at least one practice aspect.
    • Changes were most frequently contemplated for clinical skills/resource use and initiated for patient communication/support.
    • Physicians initiating changes had lower mean feedback ratings, suggesting feedback influence, though other sources were also noted.

    Conclusions:

    • Multi-source feedback can motivate physicians to contemplate and initiate practice changes.
    • Patient communication and support emerged as key areas for initiated practice modifications.
    • Printed educational materials were favored for addressing practice improvement needs.