Evidence map›Paper›PMID 39521465›Full record

ArticleBMJ open2024

Physician perspectives of clinical performance feedback and impact on well-being: a qualitative exploration.

Emily Levoy, Stacie Vilendrer, Rebecca Dang, Annette S Nasr, Jacklyn Luu, Daniel Tawfik, Tait Shanafelt

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Emily LevoyDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA elevoy@stanford.edu.ORCID 0000-0003-0932-6202
Stacie VilendrerPrimary Care and Population Health, Stanford University School of Medicine, Stanford, California, USA.
Rebecca DangDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Annette S NasrDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Jacklyn LuuDepartment of Biomedical Informatics, Stanford University School of Medicine, Stanford, California, USA.
Daniel TawfikDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Tait ShanafeltDepartment of Medicine, Stanford University School of Medicine, Stanford, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesProviding clinical performance feedback to physicians is an established method to improve care, but the impact on physician well-being is unclear. This evaluation aimed to better understand physician perspectives on clinical feedback and its potential impact on well-being.

designA qualitative design using semi-structured interviews was undertaken. Data were analysed via consensus coding using an inductive-deductive approach informed by Clinical Performance Feedback Intervention Theory. Findings were used to develop a novel framework describing the relationship between feedback and well-being.

settingInterviews were conducted in a large academic medical centre from June-September 2021.

participantsWe conducted 25 semi-structured interviews with general outpatient and inpatient paediatricians and internists.

resultsPhysicians felt that feedback supported well-being based on its perceived purpose (intended to promote professional growth vs serving an alternative purpose), which they discerned based on feedback content (aligned with physician priorities vs not aligned), validity (accurate vs inaccurate), actionability (specific vs not, within a physician's sphere of control vs not) and delivery (supportive vs punitive). The Clinical Performance Feedback Well-Being Model is presented to understand how feedback and recipient variables impact well-being.

conclusionsAttention to the process and content of physician clinical performance feedback may advance both the quality of care and physician well-being.

Indexed as

Attitude of Health PersonnelPhysiciansQualitative ResearchAdultClinical CompetenceFeedbackFemaleHumansInterviews as TopicMaleMiddle AgedBurnoutGeneral medicine (see Internal Medicine)PaediatricsQualitative researchQuality in health care

Identifiers

PMID39521465
PMCPMC11551979

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.