Evidence map›Paper›PMID 33891626›Full record

ArticlePloS one2021

Assessing anaesthesiology and intensive care specialty physicians: An Italian language multisource feedback system.

Luca Carenzo, Tiziana Cena, Fabio Carfagna, Valentina Rondi, Pier Luigi Ingrassia, Maurizio Cecconi, Claudio Violato, Francesco Della Corte, Rosanna Vaschetto

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Social Accountability in Clinical Education: A Scoping Review.Advances in medical education and practice · 2025
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Luca CarenzoDepartment of Anesthesia and Intensive Care Medicine, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy.ORCID 0000-0002-4646-2660
Tiziana CenaDepartment of Anaesthesia and Intensive Care Medicine, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
Fabio CarfagnaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy.ORCID 0000-0002-1378-1649
Valentina RondiDipartimento di Medicina Traslazionale, Università del Piemonte Orientale, Novara, Italy.
Pier Luigi IngrassiaCentro di Simulazione, Centro Professionale Sociosanitario, Lugano, Switzerland.
Maurizio CecconiDepartment of Anesthesia and Intensive Care Medicine, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy.
Claudio ViolatoDepartments of Medicine and Medical Education, University of Minnesota Medical School, Minneapolis, MN, United States of America.
Francesco Della CorteDepartment of Anaesthesia and Intensive Care Medicine, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
Rosanna VaschettoDepartment of Anaesthesia and Intensive Care Medicine, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician professionalism, including anaesthesiologists and intensive care doctors, should be continuously assessed during training and subsequent clinical practice. Multi-source feedback (MSF) is an assessment system in which healthcare professionals are assessed on several constructs (e.g., communication, professionalism, etc.) by multiple people (medical colleagues, coworkers, patients, self) in their sphere of influence. MSF has gained widespread acceptance for both formative and summative assessment of professionalism for reflecting on how to improve clinical practice.

methodsInstrument development and psychometric analysis (feasibility, reliability, construct validity via exploratory factor analysis) for MSF questionnaires in a postgraduate specialty training in Anaesthesiology and intensive care in Italy. Sixty-four residents at the Università del Piemonte Orientale (Italy) Anesthesiology Residency Program. Main outcomes assessed were: development and psychometric testing of 4 questionnaires: self, medical colleague, coworker and patient assessment.

resultsOverall 605 medical colleague questionnaires (mean of 9.3 ±1.9) and 543 coworker surveys (mean 8.4 ±1.4) were collected providing high mean ratings for all items (> 4.0 /5.0). The self-assessment item mean score ranged from 3.1 to 4.3. Patient questionnaires (n = 308) were returned from 31 residents (40%; mean 9.9 ± 6.2). Three items had high percentages of "unable to assess" (> 15%) in coworker questionnaires. Factor analyses resulted in a two-factor solution: clinical management with leadership and accountability accounting for at least 75% of the total variance for the medical colleague and coworker's survey with high internal consistency reliability (Cronbach's α > 0.9). Patient's questionnaires had a low return rate, a limited exploratory analysis was performed.

conclusionsWe provide a feasible and reliable Italian language MSF instrument with evidence of construct validity for the self, coworkers and medical colleague. Patient feedback was difficult to collect in our setting.

Indexed as

AnesthesiologistsClinical CompetenceCritical CareHealth PersonnelProfessionalismSelf-AssessmentHumansItalySurveys and Questionnaires

Identifiers

PMID33891626
PMCPMC8064525

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.