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Published on: September 19, 2019
Family physicians' reactions to performance assessment feedback
Margo S Rowan1, William Hogg, Carmel Martin
1Department of Family Medicine, University of Ottawa, Ontario, Canada. rowankeon@rogers.com
Canadian Family Physician Medecin De Famille Canadien
|February 7, 2007
Summary
Family physicians value performance feedback for professionalism and accountability. However, they are hesitant to share this feedback directly with patients, viewing accountability hierarchically with patients as the primary focus.
Area of Science:
- Medical Education
- Family Medicine
- Professional Accountability
Background:
- Performance assessment feedback is crucial for physician development.
- Understanding physicians' subjective experiences with feedback is essential for improving its implementation.
- Previous research has focused on the impact of feedback, but less on physicians' personal and professional responses.
Purpose of the Study:
- To explore and describe family physicians' personal and professional responses to performance assessment feedback.
- To understand physicians' perceptions of the value and utility of performance feedback.
- To investigate physicians' views on accountability in relation to performance feedback.
Main Methods:
- Qualitative study employing one-on-one semistructured interviews.
- Purposeful sampling of eight family physicians from a previous randomized controlled trial.
- Analysis of interview data using open coding and constant comparative methods.
Main Results:
- Physicians perceived private performance feedback as valuable and necessary for medical professionalism.
- Physicians expressed reluctance to share performance feedback directly with patients.
- Physicians described a hierarchy of accountability, prioritizing patients over other stakeholders.
Conclusions:
- Performance feedback is integral to maintaining medical professionalism and accountability for family physicians.
- Physicians' attitudes towards sharing feedback highlight the importance of patient-centered care and trust.
- The findings underscore the need for tailored approaches to feedback dissemination and accountability frameworks.
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