Objective Rhythmic Performance Evaluation Tool (O.R.P.E.T.): A numerical method to evaluate the accuracy of a musical performance

ABSTRACT Evaluation of physician practice is necessary, both to provide feedback for self-improvement and to guide department heads during yearly evaluations. Objective: To develop and implement a peer-based performance evaluation tool and to measure reliability and physician satisfaction. Methods: Each emergency physician in an urban emergency department evaluated their peers by completing a survey consisting of 21 questions on effectiveness in 4 categories: clinical practice, interaction with coworkers and the public, nonclinical departmental responsibilities, and academic activities. A sample of emergency nurses evaluated each emergency physician on a subset of 5 of the questions. Factor analysis was used to assess the reliability of the questions and categories. Intra-class correlation coefficients were calculated to determine inter-rater reliability. After receiving their peer evaluations, each physician rated the process’s usefulness to the individual and the department. Results: 225 surveys were completed on 16 physicians. Factor analysis did not distinguish the nonclinical and academic categories as distinct; therefore, the survey questions fell into 3 domains, rather than the 4 hypothesized. The overall intra-class correlation coefficient was 0.43 for emergency physicians, indicating moderate, but far from perfect, agreement. This suggests that variability exists between physician evaluators, and that multiple reviewers are probably required to provide a balanced physician evaluation. The intra-class correlation coefficient for emergency nurses was 0.11, suggesting poor reliability. Overall, 11 of 15 physicians reported the process valuable or mostly valuable, 3 of 15 were unsure and 1 of 15 reported that the process was definitely not valuable. Conclusion: Physician evaluation by a single individual is probably unreliable. A useful physician peer evaluation tool can be developed. Most physicians view a personalized, broad-based, confidential peer review as valuable.

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Performance Evaluation of Visual Therapy Method Used for Cerebral Palsy Rehabilitation

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2018.2515 ◽

2018 ◽

Vol 8 (9) ◽

pp. 1804-1818 ◽

Cited By ~ 5

Author(s):

P. Illavarason ◽

J. Arokia Renjit ◽

P. Mohan Kumar

Keyword(s):

Image Processing ◽

Cerebral Palsy ◽

Performance Evaluation ◽

Motor Impairment ◽

Threshold Value ◽

Processing Technique ◽

Corner Detection ◽

Image Processing Technique ◽

Evaluation Tool ◽

Systematic Understanding

Cerebral Palsy (CP) is a non progressive neurological disorders commonly associated with a spectrum of developmental disabilities such as strabismus (misalignment of eye). In this study, by quantitatively assess the performance analysis of Visual Therapy Method used for CP children. By capturing the Eye Movement of 25 children with CP (aged 3–15 years) with relatively mild motor-impairment and also analyzed the performance of CP children periodically. The Eye image are captured through camera, this make the quick diagnosis and examination the periodical assessment of CP kids. By Visual Therapy Function the CP children vision improvement develops as fast as or even faster. Proposed area of the research segments the eye image into Pupil, Iris, Eyelids and Eye corner detection using different image processing algorithms as well as measure the deviation position of pupil for abnormal eyes taking the normal eye as the reference or threshold value. To further enhance these compare deviation Position of the normal and the abnormal eyes and to find the severity affection of abnormal eye and to measure the performance improvement achievement by Visual Therapy Method for CP rehabilitation. The improvement analyzed for CP kids were maintained and recorded for the periodical month of Initial, 6th and 12th month. As a result, the Physicians can use this report to guide the CP kids in Rehabilitation Center and also this image processing technique offers the greater flexibility for the prospective subjects of improvement in CP Rehabilitation by Visual Therapy Method. In this context, Image processing techniques are being recommended as a performance evaluation tool in children with CP and each of these processes are suggesting method for developing a more systematic understanding of Oculomotor abnormalities.

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