Related Experiment Video
Updated: Jun 16, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Three methods of multi-source feedback compared: a plea for narrative comments and coworkers' perspectives
K Overeem1, M J M H Lombarts, O A Arah
1IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. k.overeem@iq.umcn.nl
Medical Teacher
|February 19, 2010
Summary
Multi-source feedback (MSF) combined with a portfolio and facilitator interviews is a feasible approach for doctor performance assessments. Including coworker perspectives in MSF significantly enhances its perceived impact on clinical practice.
Area of Science:
- Medical Education
- Professional Development
- Healthcare Quality Improvement
Background:
- Multi-source feedback (MSF) is crucial for professional self-regulation in healthcare.
- Simple MSF often yields limited results.
- Facilitator-led MSF combined with a portfolio is suggested to improve effectiveness.
Purpose of the Study:
- To compare three MSF methods for consultants in the Netherlands.
- To evaluate the feasibility, topics addressed, and perceived impact on clinical practice.
- To identify optimal strategies for doctor performance assessment.
Main Methods:
- 38 facilitators and 109 consultants participated in a 2007 study.
- Three MSF methods (PAR, ABIM, AAI) were evaluated alongside portfolios and facilitator interviews.
- Postal surveys and generalized estimating equations were used for evaluation.
Main Results:
- The CanMEDS roles of collaborator, communicator, and manager were frequently discussed.
- Consultants preferred narrative feedback.
- MSF incorporating coworker perspectives showed significantly greater perceived impact.
Conclusions:
- MSF, portfolios, and facilitator interviews are feasible for hospital-based performance assessments.
- Incorporating coworker perspectives in MSF enhances its perceived impact.
- This approach supports effective professional development for doctors.
Related Concept Videos
01:18Negative and Positive Feedback
Animal organs and organ systems constantly adjust to internal and external changes through a process called homeostasis ("steady state"). Examples of these changes include regulation of the level of glucose or calcium in the blood or internal responses to external temperatures. Homeostasis requires maintaining an internal dynamic equilibrium:
01:23Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
02:57The Sense of Self: Reflected Self-Appraisal and Social Comparison
According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...
01:18Positive and Negative Feedback Loops
Animal organs and organ systems constantly adjust to internal and external changes through a process called homeostasis ("steady state"). Examples of these changes include regulation of the level of glucose or calcium in the blood or internal responses to external temperatures. Homeostasis requires maintaining an internal dynamic equilibrium:
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
01:28Communication
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
Within...
Within...