Abstract
Objectivesto explore potential users’ opinions of a translated and culturally adapted Swedish version of the General Medical Council's MultiSource Feedback Questionnaires. MethodsIn this qualitative study, we used content analysis on semi-structured interviews from 44 resident doctors, 29 medical colleagues and 28 patients to analyse their opinions of the Swedish adapted version, created through translation and expert review. Transcribed interview data concerning the informants’ general thoughts about the tool were coded manually by three independent coders into categories, compiled as themes, and exemplified by citations. Data regarding specific question wording and relevance were used as a basis for final questionnaire revision. ResultsThe informants valued the tool’s potential to provide essential feedback to support the development of residents' medical competences and communication skills. Resident doctors welcomed support in their self-reflection. Colleagues saw it as a valuable tool for assessment that needs to be used sensitively. Patients appreciated opportunities to communicate feedback. Ambiguous or irrelevant questions and response options were identified. Some colleague-related questions about specific skills and knowledge appeared ambiguous to residents. The final questionnaire revision - based on the expert review and the interview analysis - resulted in a number of changes: four questions were deleted, twelve were reformulated, and six were added. ConclusionsPotential users perceived the Swedish adapted version as a beneficial tool for residents in their professional development. Further research is needed to explore how this tool can influence doctors’ development when used in real-life settings.
Highlights
Resident doctors need evidence-based clinical tools to obtain comprehensive feedback on their clinical performance during their specialist training to inform their professional development.In order to attain a better alignment between the syllabus and professional milestones, the mission statement for resident doctors in family medicine in Sweden was revised in 2015.1 Formative, Work Place Based Assessment (WPBA) methods[2] were identified as important for contributing information about doctor’s ways of acting - described as the “does” level according to the Miller framework.[3]One validated 360-degree assessment tool for assessing doctors' clinical skills on the "does" level, is Multisource Feedback (MSF), originally developed for use in medical education by van der Vleuten.[4]
All informants perceived the Swedish version of the GMC tool as containing relevant questions and as reflecting the most important perspectives in the medical profession
The analysis identified six categories, and we include some relevant citations to illustrate the content of the categories: A new and useful tool describing important medical competences The residents perceived that the content was relevant and comprehensive
Summary
Resident doctors need evidence-based clinical tools to obtain comprehensive feedback on their clinical performance during their specialist training to inform their professional development.In order to attain a better alignment between the syllabus and professional milestones, the mission statement for resident doctors in family medicine in Sweden was revised in 2015.1 Formative, Work Place Based Assessment (WPBA) methods[2] were identified as important for contributing information about doctor’s ways of acting - described as the “does” level according to the Miller framework.[3]One validated 360-degree assessment tool for assessing doctors' clinical skills on the "does" level, is Multisource Feedback (MSF), originally developed for use in medical education by van der Vleuten.[4]. Resident doctors need evidence-based clinical tools to obtain comprehensive feedback on their clinical performance during their specialist training to inform their professional development. In order to attain a better alignment between the syllabus and professional milestones, the mission statement for resident doctors in family medicine in Sweden was revised in 2015.1 Formative, Work Place Based Assessment (WPBA) methods[2] were identified as important for contributing information about doctor’s ways of acting - described as the “does” level according to the Miller framework.[3]. One validated 360-degree assessment tool for assessing doctors' clinical skills on the "does" level, is Multisource Feedback (MSF), originally developed for use in medical education by van der Vleuten.[4] MSF is one of the WPBA methods and involves inviting different groups of assessors to answer questionnaires that ask about their experience of residents’ work over an extended period.[4] Assessor groups can consist of supervisors, peers, other colleagues, or patients. Patients’ contributions mainly reflect aspects of empathy, professionalism and communication skills experienced in occasional meetings with the resident doctors.[5,6] There is good scientific evidence that MSF is a powerful method for achieving behavioural change among professionals,[7] and MSF tools have been developed and used in many English-speaking countries.[8,9] The impact of MSF ratings from different sources has, been under
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