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Designing a system for performance appraisal: balancing physicians' accountability and professional development.

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Summary

Physicians can enhance professional development through a new appraisal system that balances accountability and personal growth. This peer-coaching approach is motivating and valuable, with physicians controlling disclosure of outcomes.

Keywords:
CoachingContinuing professional development (CPD)Design-based research (DBR)Maintenance of certification (MoC)Multisource feedback (MSF)Performance appraisal and assessmentRe-registrationRevalidation

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Professional Development

Background:

  • Physicians require performance appraisals for professional development and revalidation.
  • Balancing accountability and personal development in appraisals can be challenging.
  • New Dutch legislation mandates peer coaching for physician development.

Purpose of the Study:

  • To design and implement a novel performance appraisal system for physicians in a Dutch academic medical center.
  • To integrate accountability and professional development requirements within the appraisal process.
  • To support physicians in discussing performance data and creating development plans with peer coaches.

Main Methods:

  • A design-based research approach was employed by a hospital research group.
  • A performance appraisal protocol, multisource feedback tool, and coaching approach were developed and piloted.
  • Peer coaches were recruited, trained, and facilitated in debriefings.

Main Results:

  • A two-hour peer-to-peer coaching session based on appreciative inquiry and solution-focused coaching was implemented.
  • Sessions were highly motivating, development-oriented, and valuable, with peer coaches deemed suitable.
  • The system successfully balanced accountability and professional development, allowing physicians control over disclosure.

Conclusions:

  • Effective physician professional development requires an appreciative appraisal process, trustworthy coaches, and physician control over disclosure.
  • The peer-to-peer appraisal system was positively evaluated for its motivational and developmental aspects.
  • Longitudinal research is needed to investigate the effects of this system on physician professional development.