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Validation of the INCEPT: A Multisource Feedback Tool for Capturing Different Perspectives on Physicians'

Mirja W van der Meulen¹, Benjamin C M Boerebach, Alina Smirnova

¹Ms. van der Meulen: PhD Candidate, Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, the Netherlands, and Professional Performance Research Group, Center for Evidence-Based Education, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Dr. Boerebach: Professional Performance Research Group, Center for Evidence-Based Education, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Dr. Smirnova: PhD Candidate, Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, the Netherlands, and Professional Performance Research Group, Center for Evidence-Based Education, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Dr. Heeneman: Professor, Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, the Netherlands. Dr. oude Egbrink: Professor, Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, the Netherlands. Dr. van der Vleuten: Professor, Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, the Netherlands. Dr. Arah: Professor, Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, and UCLA Center for Health Policy Research, Los Angeles, CA. Dr. Lombarts: Professor, Professional Performance Research Group, Center for Evidence-Based Education, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.

The Journal of Continuing Education in the Health Professions

|February 18, 2017

Summary

The INviting Co-workers to Evaluate Physicians Tool (INCEPT) provides valid and reliable multisource feedback on physician performance. A feasible number of evaluations ensure dependable scores, aiding professional development.

Area of Science:

Medical Education
Healthcare Professional Assessment
Psychometrics

Background:

Multisource feedback (MSF) instruments are crucial for assessing physician performance from various viewpoints.
The INviting Co-workers to Evaluate Physicians Tool (INCEPT) is an MSF instrument designed for evaluating physicians' professional conduct.
This study validates the INCEPT's psychometric properties and feasibility.

Purpose of the Study:

To evaluate the validity, reliability, and feasibility of the INCEPT instrument.
To determine the psychometric qualities of the INCEPT for physician performance assessment.
To establish the number of evaluations required for reliable INCEPT scores.

Main Methods:

Assessed performance of 218 physicians via feedback from 597 peers, 344 residents, and 822 coworkers.
Employed exploratory and confirmatory factor analyses, multilevel regression, and generalizability analyses.
Investigated psychometric qualities including internal consistency (Cronbach's α), item-total correlations, and interscale correlations.

Main Results:

Identified three consistent factors across respondent groups: 'professional attitude,' 'patient-centeredness,' and 'organization and (self)-management.'
Demonstrated high internal consistency (Cronbach's α ≥ 0.84) and acceptable to good fit in confirmatory factor analyses.
Established that 3 peer, 2 resident, and 3 coworker evaluations yield reliable total scores; 3-4 from each group suffice for subscale reliability.

Conclusions:

The INCEPT instrument offers a valid and reliable method for delivering physician performance feedback.
The required number of evaluations for reliable scores is practical within clinical settings.
Physicians should acknowledge differing perceptions among respondent groups when interpreting feedback.

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