Department of General Surgery, Bahrain Defense Force Hospital, Bahrain.
J Surg Educ. 2013 Jul-Aug;70(4):475-86. doi: 10.1016/j.jsurg.2013.02.002. Epub 2013 Apr 10.
The assessment, maintenance of competence, and recertification for surgeons have recently received increased attention from many health organizations. Assessment of physicians' competencies with multisource feedback (MSF) has become widespread in recent years. The aim of the present study was to investigate further the use of MSF for assessing surgical practice by conducting a systematic review of the published research.
A systematic literature review was conducted to identify the use of MSF in surgical settings. The search was conducted using the electronic databases EMBASE, PsycINFO, MEDLINE, PubMed, and CINAHL for articles in English up to August 2012. Studies were included if they reported information about at least 1 out of feasibility, reliability, generalizability, and validity of the MSF.
A total of 780 articles were identified with the initial search and 772 articles were excluded based on the exclusion criteria. Eight studies met the inclusion criteria for this systematic review. Reliability (Cronbach α ≥ 0.90) was reported in 4 studies and generalizability (Ep2 ≥ 0.70) was reported in 4 studies. Evidence for content, criterion-related, and construct validity was reported in all 8 studies.
MSF is a feasible, reliable, and valid method to assess surgical practice, particularly for nontechnical competencies such as communication skills, interpersonal skills, collegiality, humanism, and professionalism. Meanwhile, procedural competence needs to be assessed by different assessment methods. Further implementation for the use of MSF is desirable.
评估、维持和重新认证外科医生的能力最近引起了许多健康组织的关注。近年来，使用多源反馈（MSF）评估医生的能力已变得非常普遍。本研究旨在通过对已发表的研究进行系统评价，进一步调查 MSF 在评估外科实践中的应用。
进行了系统的文献综述，以确定在外科环境中使用 MSF 的情况。使用电子数据库 EMBASE、PsycINFO、MEDLINE、PubMed 和 CINAHL 进行搜索，检索截至 2012 年 8 月的英文文章。如果文章报告了关于 MSF 的可行性、可靠性、可推广性和有效性的至少 1 项信息，则将其纳入研究。
最初的搜索共确定了 780 篇文章，根据排除标准排除了 772 篇文章。有 8 项研究符合本系统综述的纳入标准。4 项研究报告了可靠性（Cronbach α≥0.90），4 项研究报告了可推广性（Ep2≥0.70）。所有 8 项研究均报告了内容、效标关联和构念有效性的证据。
MSF 是评估外科实践的一种可行、可靠和有效的方法，特别是对于沟通技巧、人际交往技巧、合作精神、人文精神和职业精神等非技术能力。同时，程序能力需要通过不同的评估方法进行评估。进一步实施 MSF 的使用是可取的。
