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Updated: May 10, 2026

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Multisource feedback to assess surgical practice: a systematic review.

Khalid Al Khalifa1, Ahmed Al Ansari, Claudio Violato

  • 1Department of General Surgery, Bahrain Defense Force Hospital, Bahrain.

Journal of Surgical Education
|June 4, 2013
PubMed
Summary

Multisource feedback (MSF) is a feasible, reliable, and valid method for assessing surgeons' nontechnical skills. While effective for communication and professionalism, procedural skills require different evaluation approaches.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Competency Assessment

Background:

  • Surgeon competency assessment, maintenance, and recertification are increasingly important.
  • Multisource feedback (MSF) is a widely adopted method for physician competency evaluation.
  • The study systematically reviews MSF's application in surgical practice.

Purpose of the Study:

  • To investigate the utility of multisource feedback (MSF) for assessing surgical practice.
  • To systematically review existing research on MSF in surgical settings.

Main Methods:

  • A systematic literature review was performed.
  • Searched EMBASE, PsycINFO, MEDLINE, PubMed, CINAHL up to August 2012.
  • Included studies reporting on MSF feasibility, reliability, generalizability, or validity in surgery.

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Main Results:

  • Eight studies met inclusion criteria from 780 initial articles.
  • Reliability (Cronbach α ≥ 0.90) and generalizability (Ep2 ≥ 0.70) were reported in four studies each.
  • All eight studies provided evidence for content, criterion-related, and construct validity.

Conclusions:

  • Multisource feedback (MSF) is a feasible, reliable, and valid tool for assessing surgical practice, especially nontechnical skills like communication and professionalism.
  • Procedural competence necessitates alternative assessment methods.
  • Further implementation of MSF in surgical training is recommended.