Multisource feedback in professionalism for anesthesia residents

Area of Science:

• Medical Education
• Anesthesiology
• Professionalism Assessment

Background:

• Assessing professionalism in anesthesiology residents requires input from daily interactions.
• Multisource feedback (MSF) is a tool for gathering these diverse evaluations.

Purpose of the Study:

• To evaluate the impact of MSF on resident professional behavior.
• To assess the effect of faculty feedback on resident performance.

Main Methods:

• A two-group randomized clinical trial was conducted with 28 pediatric anesthesia residents.
• Residents were randomized to a feedback group receiving monthly coaching or a control group.
• Validated MSF questionnaires assessed professionalism, with data analyzed using ANCOVA and linear mixed-effects models.

Main Results:

• The MSF tool demonstrated good reliability and internal consistency (Cronbach's alpha = 0.71).
• Residents showed a significant increase in self-assessment scores (P=.015).
• No significant improvements were observed in patient family, faculty, or coworker evaluations.

Conclusions:

• A validated MSF questionnaire can reliably assess professionalism in anesthesiology residents.
• Monthly feedback improved resident self-perception but did not translate to observed changes in external evaluations.
• Further research is needed to enhance the impact of feedback on interprofessional assessments.