分享同伴组环境下多源反馈的反思：激发医生的专业表现和发展。

Sharing Reflections on Multisource Feedback in a Peer Group Setting: Stimulating Physicians' Professional Performance and Development.

机构信息

E. Bindels was a PhD candidate, Amsterdam Center for Professional Performance and Compassionate Care, Department of Medical Psychology, Amsterdam University Medical Centers, Amsterdam, the Netherlands, and Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands, at the time of the study. The author is now a lecturer, Department of Clinical Psychology, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, the Netherlands; ORCID: https://orcid.org/0000-0001-6096-4950 .

M. van den Goor is CEO, Q3 Company for Physician Development, Den Bosch, the Netherlands; ORCID: https://orcid.org/0000-0002-6361-0178 .

出版信息

Acad Med. 2021 Oct 1;96(10):1449-1456. doi: 10.1097/ACM.0000000000004142.

DOI:10.1097/ACM.0000000000004142

PMID:33951680

Abstract

PURPOSE

Reflecting on and using feedback are important for physicians' continuous professional development (CPD). A common format is the discussion of multisource feedback (MSF) in a one-on-one session with a trusted peer or coach. A new approach is to discuss MSF during a peer group session moderated by a professional facilitator. This qualitative study explored how physicians experience participation in these peer group sessions in the context of their CPD.

METHOD

Between March and July 2018, 26 physicians were interviewed about their experiences in a peer group session. These physicians represented 13 monospecialty physician groups from 5 general hospitals in the Netherlands. Interviews were transcribed verbatim and analyzed iteratively, following the interpretative phenomenological approach.

RESULTS

Participation was experienced as a process of disclosing and sharing personal reflections with peers while striking a balance between interpersonal proximity to and distance from peers. Sharing reflections with peers rendered the feedback more meaningful, deepened collegial relationships, and created a sense of urgency for improvement. Improvement goals were mostly related to relational fine-tuning in collaboration; goals related to individual career management remained in the background. Influential factors for the perceived effectiveness of the group sessions were related to the facilitator's expertise, group size, continuity and quality of collegial relationships, personal vulnerabilities, and the context of CPD policy.

CONCLUSIONS

Peer group sessions offered interactivity and established a clear link between individual physicians and their work environments. Sharing reflections on MSF in a peer group setting provided physicians with nuanced insight into their professional performance and fostered a community spirit that supported the implementation of intended changes. Future research should focus on the role of group dynamics and communication strategies and the application of coaching principles, such as drawing up a detailed plan of action and monitoring the follow-up process.

摘要

目的

反思和利用反馈信息对于医生的持续专业发展（CPD）非常重要。一种常见的形式是在与值得信赖的同行或教练进行一对一的讨论中讨论多源反馈（MSF）。一种新方法是在由专业主持人主持的同行小组会议上讨论 MSF。本定性研究探讨了医生在 CPD 背景下参与这些同行小组会议的体验。

方法

2018 年 3 月至 7 月，对 26 名医生进行了关于他们在同行小组会议中经验的访谈。这些医生代表了来自荷兰 5 家综合医院的 13 个单一专科医生团体。访谈逐字转录并进行迭代分析，采用解释现象学方法。

结果

参与被体验为一个与同行公开和分享个人反思的过程，同时在与同行的人际关系接近和保持距离之间取得平衡。与同行分享反思使反馈更有意义，加深了同事关系，并为改进创造了紧迫感。改进目标主要与合作中的关系微调有关；与个人职业管理相关的目标仍处于次要地位。影响小组会议有效性的因素与主持人的专业知识、小组规模、同事关系的连续性和质量、个人弱点以及 CPD 政策背景有关。