360-degree assessment in a multidisciplinary team setting

To use the 360-degree assessment in the multidisciplinary setting of a rheumatology department and to evaluate its impact, recognizing that this process will become part of the revalidation process of NHS professionals in the future.

Seventeen team members completed an anonymous questionnaire to give confidential opinions about the clinical, humanistic and other skills of their colleagues. Results and comments were collated and given as feedback to each individual. Before feedback, participants were asked to predict their perceived strengths and weaknesses. After feedback they evaluated the process.

A profile of abilities was established for each team member and discussed privately with the clinical director. Often team members had good insight into their perceived strengths and weaknesses. Some participants were hurt by negative comments made about them even if this was balanced by positive comments. There were mixed views on the relevance and usefulness of the process, and whether or not it should be repeated. Some team members found the process threatening.

The 360-degree assessment can be used in a multidisciplinary setting, the questions being the same for all individuals. It is a very powerful tool that must be handled carefully so that it does not cause more harm than good.