哪些多源反馈因素会影响医生的自我评估？一项为期五年的纵向研究。
What multisource feedback factors influence physician self-assessments? A five-year longitudinal study.
作者信息
Lockyer Jocelyn M, Violato Claudio, Fidler Herta M
机构信息
Continuing Medical Education and Professional Development, 3330 Hospital Dr NW, Calgary, AB, Canada, T2N 4N1.
出版信息
Acad Med. 2007 Oct;82(10 Suppl):S77-80. doi: 10.1097/ACM.0b013e3181403b5e.
BACKGROUND
Multisource feedback, in which medical colleagues, patients, coworkers, and the physician involved provide data, is a tool to inform physician practice. Its impact on physicians' self-assessment through two iterations is unknown.
METHOD
Data from 250 family physicians in Alberta who participated in two iterations, five years apart-1999 and 2006--allowed the authors to determine the change in self-assessment scores, using a t test. A multiple regression was used to account for the variance in the scores from the second self-assessment by the data from the multisource feedback and sociodemographics from the first iteration.
RESULTS
Physicians rated themselves higher in the second iteration. The linear regression model accounted for 27.4% of the variance in the ratings at the second iteration and incorporated data from the self-assessment.
CONCLUSIONS
Physician self-assessment seems driven by stable perceptions that physicians hold about themselves and that may be slow to change.
背景
多源反馈是一种为医生的临床实践提供信息的工具，在此过程中，医学同事、患者、同事以及相关医生都会提供数据。目前尚不清楚其通过两轮反馈对医生自我评估产生的影响。
方法
来自艾伯塔省250名家庭医生的数据，这些医生分别在1999年和2006年相隔五年参与了两轮反馈，作者使用t检验来确定自我评估分数的变化。通过多元回归分析，利用多源反馈数据和第一轮反馈中的社会人口统计学数据来解释第二轮自我评估分数的差异。
结果
医生在第二轮反馈中的自我评分更高。线性回归模型解释了第二轮评分中27.4%的差异，并纳入了自我评估的数据。
结论
医生的自我评估似乎受到医生对自身的稳定认知的驱动，这种认知可能难以改变。
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