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Making an objective assessment of a colleague's performance
Debbie Cohen1, Melody Rhydderch
1Centre for Psychosocial and Disability Research, School of Medicine, Cardiff University, UK. cohenda@cf.ac.uk
The Clinical Teacher
|December 8, 2010
Summary
Performance assessments for senior doctors are evolving, incorporating clinical and behavioral skills. Current support systems are lacking, necessitating improved training for appraisals and revalidation to address performance concerns effectively.
Area of Science:
- Medical Education
- Professional Development
- Healthcare Management
Background:
- Historically, medical practice assessment focused on clinical skills and knowledge.
- Contemporary assessments now include non-clinical, behavioral skills alongside clinical practice.
- Multifaceted performance assessments are increasingly used for doctors, aiding early identification of concerns, especially for trainees.
Purpose of the Study:
- To highlight the challenges in assessing senior doctors' performance.
- To identify the need for improved support and training in performance management for senior medical professionals.
- To address the gap in current support structures for senior colleagues facing performance issues.
Main Methods:
- Review of current practices in medical performance assessment.
- Analysis of challenges in peer assessment and managing senior colleagues.
- Examination of the complexities of clinical and behavioral performance issues.
Main Results:
- Peer assessment for senior colleagues can be complex, with blurred role boundaries.
- Performance issues are often multifaceted, involving both clinical and behavioral aspects.
- Existing local support for senior colleagues' performance issues is inadequately formulated.
Conclusions:
- Concerns regarding senior doctors' performance are often overlooked until they become disciplinary matters.
- The introduction of revalidation necessitates better training for managing performance issues.
- Improved training will enhance the experience for both appraisers and appraisees in performance reviews.
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