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iSPOT: Creation and Implementation of a National Peer Observation and Feedback Program

Erin King1, Nicole Webb2, Joanne Nazif3

  • 1University of Chicago Comer Children's Hospital, Chicago, Illinois.

Hospital Pediatrics
|March 13, 2025
PubMed

Insights

A national faculty development program successfully increased peer observation and feedback (POF) events by 149% among pediatric hospitalists. This initiative improved clinician confidence and peer connection, serving as a model for future educational collaborations.

Area of Science:

  • Medical Education
  • Faculty Development
  • Pediatric Hospital Medicine

Background:

  • Pediatric hospitalists desire structured peer observation and feedback (POF) for professional growth.
  • Existing POF practices lacked standardization, hindering widespread adoption.
  • A national study identified the need for formalizing POF in pediatric hospital medicine (PHM).

Purpose of the Study:

  • To describe a national faculty development program focused on formalizing, standardizing, and normalizing POF in PHM.
  • To assess the program's impact on the frequency of POF events and participant outcomes.
  • To identify lessons learned for implementing similar initiatives.

Main Methods:

  • Recruitment of participants and site leads via the American Academy of Pediatrics listserv, offering Maintenance of Certification (MOC) credit.
  • Webinar-based education, self-assessment with goal setting, and completion of at least two observations annually.
  • Data collection over 18 months (12 months during implementation, 6 months post-implementation) including site characteristics and POF event frequency.

Main Results:

  • A 149% increase in POF events from baseline, sustained at 6 sites.
  • Significant improvements in self-reported confidence in feedback delivery and peer connection.
  • High program completion (74%) and satisfaction rates (92% recommended ongoing participation, 100% of site leads satisfied).

Conclusions:

  • A national MOC-linked faculty development program effectively increased POF across diverse institutions.
  • The program provided essential incentives and infrastructure for POF implementation.
  • This model can guide future national collaborative educational and faculty development initiatives.
Abstract

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