Remote assessment via video evaluation (RAVVE): a pilot study to trial video-enabled peer feedback on clinical performance

BMC Medical Education

Kevin Eva¹  Kendall Ho²  Helen Novak Lauscher²  Christopher Yao²  Graydon Meneilly³  Barry E. Koehler⁴  Shahin Jamal⁴  David Collins⁴  Raheem Kherani⁴  Kamran Shojania⁴ 

[1] Centre for Health Education Scholarship, Department of Medicine, Faculty of Medicine, University of British Columbia, P.A. Woodward Instructional Resources Centre;Digital Emergency Medicine, Department of Emergency Medicine, Faculty of Medicine, University of British Columbia;Division of Geriatric Medicine, Department of Medicine, Faculty of Medicine, University of British Columbia;Division of Rheumatology, Department of Medicine, Faculty of Medicine, University of British Columbia, Gordon and Leslie Diamond Health Care Centre;

关键词: Physician;    Peer feedback;    Self-evaluation;    Reflective practice;    Video feedback;    Medical education;   

DOI  :  10.1186/s12909-019-1905-3

来源: DOAJ

【 摘 要 】

Abstract Background Video review processes for evaluation and coaching are often incorporated into medical education as a means to accurately capture physician-patient interactions. Compared to direct observation they offer the advantage of overcoming many logistical challenges. However, the suitability and viability of using video-based peer consultations for professional development requires further investigation. This study aims to explore the acceptability and feasibility of video-based peer feedback to support professional development and quality improvement in patient care. Methods Five rheumatologists each provided four videos of patient consultations. Peers evaluated the videos using five-point scales, providing annotations in the video recordings, and offering recommendations. The rheumatologists reviewed the videos of their own four patient interactions along with the feedback. They were asked to document if they would make practice changes based on the feedback. Focus groups were conducted and analysed to explore the effectiveness of video-based peer feedback in assisting physicians to improve clinical practice. Results Participants felt the video-based feedback provided accurate and detailed information in a more convenient, less intrusive manner than direct observation. Observations made through video review enabled participants to evaluate more detailed information than a chart review alone. Participants believed that reviewing recorded consultations allowed them to reflect on their practice and gain insight into alternative communication methods. Conclusions Video-based peer feedback and self-review of clinical performance is an acceptable and pragmatic approach to support professional development and improve clinical care among peer clinicians. Further investigation into the effectiveness of this approach is needed.

【 授权许可】

Unknown