Ellul Pierre, Moore Alice, Camilleri Justine, Grech Victor
Mater Dei Hospital, Malta.
Clin Teach. 2012 Oct;9(5):290-4. doi: 10.1111/j.1743-498X.2012.00537.x.
Multisource feedback (MSF) is a mandatory assessment in the foundation programme. The current tool that is used is the validated Team Assessment of Behaviour (TAB). This assesses doctors on four domains: maintaining trust and professional relations; verbal communication skills; teamworking; and accessibility. The aims of our retrospective analysis were to analyse the number of doctors who had an MSF with any type of concern, and to assess if there is any relationship between the number of MSFs submitted and the number of concerns and the staff group.
Data were obtained from the e-portfolio Malta database. The anonymized MSFs for the doctors in the foundation programme (FP) in Malta between July 2009 and July 2010 were analysed.
A total of 1868 MSF assessments from 83 FP doctors (50 foundation year-1 doctors, FY1s, and 33 FY2s) were analysed. Fifty-two FY doctors were female. The majority of assessments (97.86%) did not show any concern in any of the four domains. However, at least one concern was raised for 21.7 percent of the doctors (12 FY1s and 6 FY2s). The chance of there being a concern reported was statistically significantly higher when the MSF was completed by a more senior doctor, rather than by an FY doctor or a nurse (p = 0.016).
The aim of the MSF tool is to collate the views from a range of clinical colleagues in order to assess trainee performance. In our opinion, besides indicating when the MSFs should be performed and the minimum number that need to be submitted, it should also be mandatory that a certain proportion of MSFs should be performed by specific people (e.g. by a clinical supervisor, basic specialist trainee or higher specialist trainee working with the team).
多源反馈（MSF）是基础培训项目中的一项强制性评估。目前使用的工具是经过验证的团队行为评估（TAB）。该评估从四个领域对医生进行考核：维持信任和专业关系；言语沟通技巧；团队合作；以及易接近性。我们进行回顾性分析的目的是分析存在任何类型问题的多源反馈的医生数量，并评估提交的多源反馈数量与问题数量以及工作人员群体之间是否存在任何关系。
数据来自马耳他电子档案数据库。对2009年7月至2010年7月期间马耳他基础培训项目（FP）中医生的匿名多源反馈进行了分析。
共分析了来自83名基础培训医生（50名第一年基础培训医生，即FY1，和33名FY2）的1868份多源反馈评估。52名基础培训医生为女性。大多数评估（97.86%）在四个领域中均未显示任何问题。然而，21.7%的医生（12名FY1和6名FY2）至少存在一个问题。当多源反馈由更资深的医生而非基础培训医生或护士完成时，报告存在问题的可能性在统计学上显著更高（p = 0.016）。
多源反馈工具的目的是整理一系列临床同事的意见，以评估实习医生的表现。我们认为，除了指明何时应进行多源反馈以及需要提交的最少数量外，还应强制规定一定比例的多源反馈应由特定人员（例如与团队合作的临床督导、基础专科培训医生或高级专科培训医生）进行。
