Campbell John, Narayanan Ajit, Burford Bryan, Greco Michael
Peninsula Medical School, UK.
Educ Prim Care. 2010 May;21(3):165-79. doi: 10.1080/14739879.2010.11493902.
Feedback from colleagues and patients is a core element of the revalidation process being developed by the General Medical Council. However, there are few feedback tools which have been specifically developed and validated for doctors in primary care. This paper presents data demonstrating the reliability and validity of one such tool. The CFEP360 tool combines feedback from the Colleague Feedback Evaluation Tool (CFET) and the Doctor's Interpersonal Skills Questionnaire (DISQ). The analysis of over 10 000 completed questionnaires presented here identifies that colleague feedback is essentially two-dimensional (i.e. clinical and non-clinical skills) and that patient feedback is one-dimensional. However, items from both scales also effectively predict combined global ratings, indicating that colleagues and patients are identifying similar levels of performance as accessed by the feedback. Doctors who receive low feedback scores may require further attention, meaning the feedback potentially has diagnostic value. Reliable feedback on this tool, as indicated by this analysis, requires 14 colleague responses and 25 patient responses, figures comparable to other MSF tools if CFEP360 is to be used for a high stakes performance evaluation and possible revalidation (generalisability statistic G> or =0.80). For lower stakes performance evaluations, such as personal development, responses from 11 colleagues and 16 patients will still return reliable results (G> or =0.70).
同事和患者的反馈是英国医学总会正在制定的重新认证过程的核心要素。然而，专门为基层医疗医生开发并验证的反馈工具却很少。本文展示的数据证明了这样一种工具的可靠性和有效性。CFEP360工具结合了同事反馈评估工具（CFET）和医生人际技能问卷（DISQ）的反馈。此处对10000多份已完成问卷的分析表明，同事反馈本质上是二维的（即临床和非临床技能），而患者反馈是一维的。然而，两个量表中的项目也能有效预测综合总体评分，这表明同事和患者所识别的表现水平与反馈所评估的相似。反馈得分较低的医生可能需要进一步关注，这意味着反馈可能具有诊断价值。正如该分析所示，如果要将CFEP360用于高风险的绩效评估和可能的重新认证（泛化统计量G≥0.80），那么该工具的可靠反馈需要14份同事回复和25份患者回复，这些数字与其他MSF工具相当。对于低风险的绩效评估，如个人发展，11位同事和16位患者的回复仍将得出可靠结果（G≥0.70）。
