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Related Experiment Videos

The 360-degree evaluation: increased work with little return?

John A Weigelt1, Karen J Brasel, Dawn Bragg

  • 1Department of Surgery, The Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, USA. jweigelt@mcw.edu

Current Surgery
|December 14, 2004
PubMed
Summary

A 360-degree resident evaluation tool on trauma/critical care services yielded similar information to traditional faculty evaluations. Further studies are needed to confirm these findings in larger samples across surgical specialties.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Healthcare Quality Improvement

Background:

  • Traditional faculty evaluations are standard in residency programs.
  • Assessing resident performance comprehensively is crucial for patient safety and program quality.
  • The Accreditation Council for Graduate Medical Education (ACGME) competencies provide a framework for evaluating residents.

Purpose of the Study:

  • To evaluate a 360-degree resident evaluation tool in trauma/critical care services.
  • To determine if multi-rater feedback provides equivalent information to traditional faculty evaluations.
  • To assess the utility of a novel evaluation instrument in surgical residency training.

Main Methods:

  • A prospective evaluation was conducted at an academic medical center.

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  • A 19-item, 1-9 Likert scale evaluation tool was developed based on ACGME competencies and RRC criteria.
  • Residents, nurses, faculty, and staff provided ratings for residents on trauma/surgical intensive care unit rotations.

    • Main Results:

    • An average of 74-106 evaluations were obtained per resident per competency area.
    • Average scores across ACGME competencies ranged from 6.18 to 6.54.
    • No statistically significant differences were found between rater groups for any ACGME competency.

    Conclusions:

    • 360-degree evaluations provided limited new information beyond traditional faculty ratings.
    • The study suggests that current faculty evaluations may be sufficient for assessing residents in this setting.
    • Larger sample sizes and broader surgical specialty inclusion are recommended for future research.