Canberra Hospital, Canberra, ACT, Australia.
Australian National University, Canberra, ACT, Australia.
ANZ J Surg. 2023 May;93(5):1145-1149. doi: 10.1111/ans.18294. Epub 2023 Jan 30.
The adoption and integration of work-based assessments by surgical units and training programs continues to increase, it is important to identify challenges in their implementation. The authors evaluated the barriers involved in the deployment of a supervisor assessment tool in Australia.
A questionnaire was created based on existing literature from international, and non-surgical contexts. The questionnaire covered areas known to impact multisource feedback assessments. The questionnaire was delivered in September 2019 to 34 trainees and 25 supervisors. Participants then rated each item within the questionnaire on a Likert scale.
During the survey period, 23 of 25 (92%) supervisors and 31 of 34 (91.1%) trainees completed the questionnaire. The results show that an assessment form is well received and there is a difference between trainees and supervisors on perspectives surrounding impact on trainee-supervisor relationships, how a trainee manages negative feedback, consequences of poor scores, the importance of anonymity, and acceptability of input from allied health and nursing staff.
The results provide reassurance that the perception of supervisors who felt that negative ratings may affect trainee-supervisor relationships is unfounded. A digital distribution format of self-assessment and supervisor assessment forms is well received by participants. This method of assessment should provide trainees an additional source of feedback, and opportunities for self-reflection during their training.
基于工作的评估在外科单位和培训计划中的采用和整合不断增加,因此确定其实施过程中的挑战非常重要。作者评估了在澳大利亚部署主管评估工具所涉及的障碍。
根据来自国际和非外科环境的现有文献,创建了一份问卷。该问卷涵盖了影响多源反馈评估的已知领域。2019 年 9 月,向 34 名学员和 25 名主管人员分发了问卷。然后,参与者在问卷中的每个项目上按照李克特量表进行评分。
在调查期间,25 名主管中的 23 名(92%)和 34 名学员中的 31 名(91.1%)完成了问卷。结果表明,评估表受到了好评,学员和主管在评估表对学员-主管关系的影响、学员如何处理负面反馈、成绩不佳的后果、匿名的重要性以及接受辅助医疗和护理人员的意见方面存在差异。
结果表明,主管人员认为负面评价可能会影响学员-主管关系的看法是没有根据的。自我评估和主管评估表的数字分发格式受到参与者的好评。这种评估方法应为学员提供额外的反馈来源,并为他们在培训期间提供自我反思的机会。