What Multisource Feedback Factors Influence Physician Self-Assessments? A Five-Year Longitudinal Study

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Abstract

Background

Multisource feedback, in which medical colleagues, patients, coworkers, and the physician involved provide data, is a tool to inform physician practice. Its impact on physicians’ self-assessment through two iterations is unknown.

Method

Data from 250 family physicians in Alberta who participated in two iterations, five years apart—1999 and 2006—allowed the authors to determine the change in self-assessment scores, using a t test. A multiple regression was used to account for the variance in the scores from the second self-assessment by the data from the multisource feedback and sociodemographics from the first iteration.

Results

Physicians rated themselves higher in the second iteration. The linear regression model accounted for 27.4% of the variance in the ratings at the second iteration and incorporated data from the self-assessment.

Conclusions

Physician self-assessment seems driven by stable perceptions that physicians hold about themselves and that may be slow to change.

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