Background: Multisource feedback, using questionnaire-based data from patients, coworkers, and medical colleagues, is designed to provide broad-based information about clinical performance to facilitate change. Purpose: To determine and explain the likelihood that surgeons would implement change following receipt of performance data. Methods: Surgeons were surveyed to determine the likelihood they would make changes based on specific feedback about their clinical practices. Results: One hundred fifty-three surgeons (76.5%) responded to the follow-up survey. There was little correlation between performance ratings provided by self or medical colleagues and the likelihood of change. A linear regression analysis indicated that 19.2% of the variance in likelihood to change could be explained by age, time spent reviewing feedback, the gap between self- and other ratings, and surgical specialty. Conclusion: Surgeons made few changes in practice in response to feedback data. Attention needs to be paid to methods that might increase surgeon use of performance data.
Bibliographical noteFunding Information:
We would like to thank the Medical Council of Canada for the grant to do the follow-up work and the College of Physicians and Surgeons of Alberta, who initiated and funded the Physician Achievement Review Program, which provided the performance data. In particular we acknowledge the support of Dale Dauphinee and David Blackmore at the Medical Council of Canada and Robert Burns, Bryan Ward, and John Swiniarski at the College of Physicians and Surgeons of Alberta.