A five-phase framework for designing a successful multisource feedback system.

2001 ◽  
Vol 53 (2) ◽  
pp. 82-95 ◽  
Author(s):  
Allan H. Church ◽  
Janine Waclawski
Keyword(s):  
Feedback System ◽  
Multisource Feedback

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

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250404
Author(s):  
Luca Carenzo ◽  
Tiziana Cena ◽  
Fabio Carfagna ◽  
Valentina Rondi ◽  
Pier Luigi Ingrassia ◽  
...  
Keyword(s):  
Intensive Care ◽  
Clinical Practice ◽  
Construct Validity ◽  
Feedback System ◽  
Internal Consistency Reliability ◽  
Multisource Feedback ◽  
Assessment System ◽  
The Self ◽  
Italian Language ◽  
Medical Colleague

Background Physician 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. Methods Instrument 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. Results Overall 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. Conclusions We 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.

scholarly journals Multisource feedback to assess pediatric practice: a systematic review

2013 ◽  
Vol 4 (1) ◽  
pp. e86-e95 ◽  
Author(s):  
Samah Al Alawi ◽  
Ahmed Al Ansari ◽  
Ayman Raees ◽  
Salman Al Khalifa
Keyword(s):  
Systematic Review ◽  
English Language ◽  
Principal Component ◽  
Feedback System ◽  
Internal Consistency Reliability ◽  
Multisource Feedback ◽  
Principal Component Factor Analysis ◽  
Inclusion Criteria ◽  
Key Competencies ◽  
Practice Methods

Introduction: The assessment and maintenance of competence for pediatricians has recently received increased attention. The aim of the present study was to investigate further the use of multisource feedback for assessing pediatricians in practice. Methods: A systematic literature review was conducted using the electronic databases EMBASE, PsycINFO, MEDLINE, PUBMED, and CINAHL for English-language articles. Results: 762 articles were identified with the initial search and 756 articles were excluded for a total of six studies that met the inclusion criteria for this systematic review. Internal consistency reliability was reported in five studies with α > 0.95 for both subscales and full scales. Generalizability was also reported in two studies with Ep2 generally > 0.78. These adequate Ep2 coefficients were achieved with different numbers of raters. Evidence for content, criterion-related (e.g., Pearson’s r) and construct validity (e.g., principal component factor analysis) was reported in all 6 studies. Conclusion: Multisource feedback is a feasible, reliable, and valid method to assess pediatricians in practice. The results indicate that multisource feedback system can be used to assess key competencies such as communication skills, interpersonal skills, collegiality, and medical expertise. Further implementation of multisource feedback is desirable.

Experiments with a scanning tunneling microscope (STM) mounted in a scanning electron microscope (SEM)

1986 ◽  
Vol 44 ◽  
pp. 636-639
Author(s):  
Oliver C. Wells ◽  
Mark E. Welland
Keyword(s):  
Electron Microscope ◽  
Scanning Electron Microscope ◽  
Mechanical Stability ◽  
Tunneling Current ◽  
Feedback System ◽  
Scanning Tunneling ◽  
Surface Profiling ◽  
Close Proximity ◽  
Metal Tip ◽  
Scanning Electron

Scanning tunneling microscopes (STM) exist in two versions. In both of these, a pointed metal tip is scanned in close proximity to the specimen surface by means of three piezos. The distance of the tip from the sample is controlled by a feedback system to give a constant tunneling current between the tip and the sample. In the low-end STM, the system has a mechanical stability and a noise level to give a vertical resolution of between 0.1 nm and 1.0 nm. The atomic resolution STM can show individual atoms on the surface of the specimen.A low-end STM has been put into the specimen chamber of a scanning electron microscope (SEM). The first objective was to investigate technological problems such as surface profiling. The second objective was for exploratory studies. This second objective has already been achieved by showing that the STM can be used to study trapping sites in SiO2.

The Mediating Effect of Reactions to Multisource Feedback

2005 ◽  
Author(s):  
Lori Anderson Snyder ◽  
George C. Thornton ◽  
Rob Edwards
Keyword(s):  
Multisource Feedback ◽  
Mediating Effect

Clinical Renal Function Testing by External Double Isotope Monitoring Technique

1971 ◽  
Vol 10 (01) ◽  
pp. 16-24
Author(s):  
J. Fog Pedersen ◽  
M. Fog Pedersen ◽  
Paul Madsen
Keyword(s):  
Renal Function ◽  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Plasma Flow ◽  
Filtration Rate ◽  
Renal Plasma Flow ◽  
Correlation Coefficients ◽  
Feedback System ◽  
Effective Renal Plasma Flow ◽  
Advantages And Disadvantages

SummaryAn accurate catheter-free technique for clinical determination simultaneouslyof glomerular filtration rate and effective renal plasma flow by means of radioisotopes has been developed. The renal function is estimated by the amount of radioisotopes necessary to maintain a constant concentration in the patient’s blood. The infusion pumps are steered by a feedback system, the pumps being automatically turned on when the radiation measured over the patient’s head falls below a certain preset level and turned off when this level is again readied. 131I-iodopyracet was used for the estimation of effective renal plasma flow and125I-iothalamate estimation of the glomerular filtration rate. These clearances were compared to the conventional bladder clearances and good correlation was found between these two clearance methods (correlation coefficients 0.97 and.90 respectively). The advantages and disadvantages of this new clearance technique are discussed.

Continuous Estimation of CO2 Production during Exercise

1997 ◽  
Vol 36 (04/05) ◽  
pp. 368-371
Author(s):  
R. Soma ◽  
Y. Yamamoto
Keyword(s):  
Fuzzy Logic ◽  
Steady State ◽  
Infusion Rate ◽  
Feedback System ◽  
Whole Body ◽  
Co2 Production ◽  
Cycle Exercise ◽  
Continuous Estimation ◽  
Breath Measurement ◽  
13Co2 Enrichment

Abstract.A new method was developed for continuous isotopic estimation of human whole body CO2 rate of appearance (Ra) during non-steady state exercise. The technique consisted of a breath-by-breath measurement of 13CO2 enrichment (E) and a real-time fuzzy logic feedback system which controlled NaH13CO3 infusion rate to achieve an isotopic steady state. Ra was estimated from the isotope infusion rate and body 13CO2 enrichment which was equal to E at the isotopic steady state. During a non-steady state incremental cycle exercise (5 w/min or 10 w/min), NaH13CO3 infusion rate was successfully increased by the action of feedback controller so as to keep E constant.

Supercontinuum laser-based monochromatic radiant source for detector spectral responsivity characterization in the range 0.9–1.6 μm using absolute cryogenic radiometer

2020 ◽  
pp. 28-33
Author(s):  
A. Yu. Dunaev ◽  
A. S. Baturin ◽  
V. N. Krutikov ◽  
S. P. Morozova
Keyword(s):  
Power Distribution ◽  
Spectral Power ◽  
Feedback System ◽  
Operating Mode ◽  
Spectral Responsivity ◽  
Spectral Power Distribution ◽  
Cryogenic Radiometer ◽  
Supercontinuum Laser ◽  
Radiant Power ◽  
Double Monochromator

An improved monochromatic radiant source with spectral bandwidth of 4 nm based on supercontinuum laser and a double monochromator was included in absolute cryogenic radiometer-based facility to improve the accuracy of spectral responsivity measurement in the range 0.9–1.6 μm. The developed feedback system ensures stabilization of monochromatic radiant power with standard deviation up to 0.025 %. Radiant power that proceeds detector under test or absolute cryogenic radiometer varies from 0.1 to 1.5 mW in dependence of wavelength. The spectral power distribution of its monochromatic source for various operating mode is presented.

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