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Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity
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Synchronous collection of multisource feedback evaluations does not increase inter-rater reliability.

Gregory Garra1, Henry Thode

  • 1Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA. Gregory.Garra@StonyBrook.edu

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|October 18, 2011
PubMed
Summary

Synchronous multisource feedback (MSF) collection did not improve reliability in emergency medicine resident evaluations. Asynchronous MSF remains the preferred method for resident assessment due to its consistent results.

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Area of Science:

  • Medical Education
  • Healthcare Professional Assessment

Background:

  • Multisource feedback (MSF) is crucial for evaluating resident performance.
  • Asynchronous MSF, where feedback is given after an event, often suffers from poor inter-rater reliability.
  • Cognitive biases may contribute to the unreliability of asynchronous MSF.

Purpose of the Study:

  • To investigate if synchronous MSF collection, tied to specific patient interactions, enhances reliability compared to asynchronous methods.
  • To assess within- and between-rater group reliability in synchronous versus asynchronous MSF.

Main Methods:

  • A survey study at a university emergency department involving 30 emergency medicine residents.
  • Asynchronous MSF using the Emergency Medicine Humanism Scale (EM-HS) was collected via web survey.
  • Synchronous MSF was collected immediately after patient encounters using the same scale.

Main Results:

  • Synchronous collection did not yield clinically significant differences in EM-HS scores within rater groups.
  • Correlations between asynchronous and synchronous feedback were poor for faculty and moderate for nurses.
  • Inter-rater correlations between faculty and nurses were moderate for both methods.

Conclusions:

  • Synchronous MSF collection did not improve score reliability or inter-rater agreement in this study.
  • The findings support the continued use of asynchronous MSF for evaluating emergency medicine residents.