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How Physicians Change [using PULSE 360]: Multisource feedback driven intervention improves physician leadership and teamwork

Surgery Conclusions: “Baseline multisource feedback scores vary by specialty and improve based on feedback, goalsetting, coaching, and education. In particular, physicians who start with low scores have the greatest potential for leadership teamwork index improvement.” Read the Full Article Below: How Physicians Change: Multisource Feedback-Driven Intervention Improves Physician Leadership and Teamwork... Read More

Use of (PULSE) 360° Feedback to Develop Physician Leaders in Orthopaedic Surgery

Twelve service chiefs participated in PULSE 360° feedback surveys and coaching as part of a departmental leadership development activity. Changes in the means of both composite survey scores and individual behavioral item scores over time were evaluated with paired t tests. Agreement between self-rating and rating of others was evaluated with unpaired t tests. There...... Read More

Innovations in 360-Degree Physician Feedback Survey Programs: What HR Needs to Know

HR Pulse Magazine    Conclusions: “The 360-degree assessment process can address complex physician issues and enable each physician to receive feedback on their hard-to-measure professionalism and interpersonal communication skills, often associated with patient safety and outcomes. Many physicians who receive developmental feedback will self-correct. Others will receive positive morale-boosting feedback enhancing their engagement and retention....... Read More

Leadership development in a professional medical society using (PULSE) 360-degree survey feedback to assess emotional intelligence

Surgical Endoscopy Conclusions: “Emotional intelligence as conceptualized in this study was positively related to overall performance ratings of potential leaders. The ever-increasing roles and potential responsibilities for Professional Medical Associations (PMAs) suggest that these organizations should consider multisource performance reviews as these potential future PMA executives rise through their organizations to assume leadership positions with...... Read More

Assessing Physician Performance Using 360-degree Multisource Surveys: Do Biases Exist Due to Gender, Country of Training, Native Language, and Age?

Diversity and Equality in Health and Care Conclusions: “The PULSE 360 can be used to evaluate physician performance without bias concerns due to demographic differences including gender, country of physician medical training, physician native language, and age.” Read the Full Article Below: Assessing Physician Performance Using 360-degree Multisource Surveys: Do Biases Exist Due to Gender,...... Read More

Dr. Congeniality: Understanding the Importance of Surgeons’ Nontechnical Skills Through (PULSE) 360° Feedback

Both physicians-in-training and in-practice physicians may benefit from engaging in empathic and constructive behaviors with patients and team members. Backward stepwise regressions were used to determine which model with the most variance used the fewest explanatory variables. Personality traits acted as predictor variables in the regression models and patient satisfaction and teamwork performance were utilized...... Read More

Good to Great: Using (PULSE) 360-Degree Feedback to Improve Physician Emotional Intelligence

The past decade has seen intense interest and dramatic change in how hospitals and physician organizations review physician behaviors. The characteristics of successful physicians extend past their technical and cognitive skills. Two of the six core clinical competencies (professionalism and interpersonal/communication skills) endorsed by the Accreditation Council for Graduate Medical Education, the American Board of...... Read More

Do 360-degree Feedback Survey Results Relate to Patient Satisfaction Measures?

The relationship between Quality PULSE 360 feedback scores and measures of patient satisfaction reaffirm that feedback from work team members may provide helpful information into how patients may be perceiving their physicians’ behavior and vice versa. Furthermore, the findings provide tentative support for the use of team-based feedback to improve the quality of relationships with...... Read More

Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project

360 degree evaluations can provide a practical, systematic, and subjectively accurate assessment of surgeon performance without undue reviewer burden. The process was found to result in beneficial behavior change, according to surgeons and their coworkers. Survey response rate was 31% for surgeons (118 of 385), 59% for department heads (10 of 17), and 36% for...... Read More

Multisource Evaluation of Surgeon Behavior is Associated with Malpractice Claims

The range of claims among a study of 264 surgeons was 0 to 8, with 48.1% of surgeons having at least 1 claim. Multiple positive and negative behaviors were significantly associated with the risk of having malpractice claims. Surgeons in the bottom decile for several items had an increased likelihood of having at least 1...... Read More

(Video) 4 Field-Tested Strategies for Healthcare Pros to Stay Sane during COVID-19

In the brief video below, we’ve focused only on 4 rapid self-care strategies to help healthcare professionals get centered and in control during the many moments of inevitable chaos brought by the COVID-19 crisis.  When this is over, it’s our hope that healthcare professionals receive the same societal respect as soldiers. In other words, when...... Read More

Multisource Evaluation of Surgeon Behavior is Associated with Malpractice Claims

Annals of Surgery Conclusions: “Surgeon behavior, as assessed by 360-degree review, is associated with malpractice claims. These findings highlight the importance of teamwork and communication in exposure to malpractice. Although the nature of malpractice claims is complex and multifactorial, the identification and modification of negative physician behaviors may mitigate malpractice risk and ultimately result in the improved quality...... Read More

Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project

Journal of the American College of Surgeons Conclusions: “360-degree evaluations can provide a practical, systematic, and subjectively-accurate assessment of surgeon performance without undue reviewer burden. The process was found to result in beneficial behavior change according to surgeons and their co-workers.” Read the Full Article Below: Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback...... Read More

Do 360-degree Feedback Survey Results Relate to Patient Satisfaction Measures?

Clinical Orthopaedics and Related Research Conclusions: “The relationship between Quality PULSE 360 feedback scores and measures of patient satisfaction reaffirm that feedback from work team members may provide helpful information into how patients may be perceiving their physicians’ behavior and vice versa. Furthermore, the findings provide tentative support for the use of team-based feedback to...... Read More

Physicians’ Empathy and Clinical Outcomes for Diabetic Patients

Physicians’ Empathy and Clinical Outcomes for Diabetic Patients. Academic Medicine: March 2011 – Volume 86 – Issue 3 – pp 359-364. doi: 10.1097/ACM.0b013e3182086fe1. Authors: Hojat, Mohammadreza PhD; Louis, Daniel Z. MS; Markham, Fred W. MD; Wender, Richard MD; Rabinowitz, Carol; Gonnella, Joseph S. MD. From the abstract: “The hypothesis of a positive relationship between physicians’...... Read More

Four Essential Components of a 360-Degree Training & Feedback System for Physicians

While healthcare organizations can learn from the 360-degree feedback systems successfully used by businesses, it is not advisable to use their surveys and protocol, but rather to select one that is designed for healthcare and hospitals. The following are four essential healthcare-specific criteria for measuring and increasing the practice and people skills of physicians:   1....... Read More

Good to Great: Using 360-Degree Feedback to Improve Physician Emotional Intelligence

Journal of Healthcare Management Conclusions: “To be successful as a physician, particularly in today’s rapidly changing healthcare environment, requires both cognitive and emotional intelligence. Existing evidence suggests that investing in 360-degree screening of physician EI and offering education and other developmental interventions, where appropriate, to improve EI may bolster the historically neglected core clinical competencies...... Read More

Managing Stress in the Orthopaedic Family: Avoiding Burnout, Achieving Resilience

Journal of Bone and Joint Conclusions: “The results of our national survey highlight the continued prevalence of these problems within the academic orthopaedic community. Left unaddressed, burnout and psychological dis- tress can lead to patient care errors, decreased marital harmony, and physician impairment. As physicians, it is our responsibility to recognize and address impairment in...... Read More

Physicians & Pay-for-Professionalism

While healthcare has readily adopted Pay-for-Performance relating to technical skills, perhaps the time has come to embrace Pay-for-Professionalism for physicians. Should we admit that these non-technical skills matter enough for a new approach? If physician productivity is important enough to be incentivized, shouldn’t we do the same for professionalism? A wealth of research has shown a correlation...... Read More

Physician specialties with the most—and the least—burnout

From the 2013 Medscape survey on physician burnout, here is a sampling of the highest and lowest physician burnout rates by specialty:   Highest rate of physician burnout: Emergency medicine (51%) Critical care (50%) Family medicine (43%)   Lowest rate of physician burnout: Pathology (32%) Psychiatry (33%) (Tied) Ophthalmology (35%) Pediatrics (35%) Rheumatology (35%)  ... Read More