If you have completed the detailed self-assessment you may be aware of areas of performance where you feel you could improve – but what do others think of you?
The GMC in Supporting information for appraisal and revalidation suggests that feedback should “reflect the totality of your work.” As part of revalidation requirements appraisers should therefore seek feedback and reflect upon it.
Each doctor you appraise has the opportunity to leave feedback on their appraisal after they have agreed your summary is a true representation of their appraisal. This feedback is collated on MARS and once five doctors have left feedback, you, as an appraiser, can request to see it. The feedback is available from you local appraisal lead.
The feedback report can display results between any given dates and as such can be used to demonstrate improvement. The results for your feedback are also compared against the national average between those dates. The green bars represent national average and the lilac bars are your results.
You may wish to use this template to reflect on your results.
Other people may be in a position to feedback on your performance as an appraiser. If you have a local lead or Appraisal Co-ordinator they will be able to comment on your skills, they will also have access to performance data e.g. how long it takes you complete various tasks on MARS. In General Practice this is formalised into an annual feedback session, the documentation supporting this can be found here.
You may receive unsolicited feedback as a result of the annual Internal Quality Assurance day. These days are held around Wales and are attended by appraisers from all specialties. Anonymous appraisal summaries are assessed against a set of criteria and a score accumulates which is converted to a mark out of 100. Between 5-10% of all appraisal summaries written in the preceding year are examined and the results fed back to the appropriate Health Board.
You may wish to attend one of these IQA days – ask your local appraisal lead (or the RSU) for details. An alternative would be to “mark” one of your summaries using the QA criteria.
Finally some of the ROs around Wales are feeding back on the summaries they see in connection with revalidation recommendations. Although this is not universal it does seem to be a spreading practice.
Self or peer assessment
Two of the GP Appraisal Co-ordinators (Dr Mark Rowlands and Dr Lynne Rees) have developed an Appraisal Discussion Assessment Method (ADAM), since modified into a simplified form (rADAM). The original ADAM envisaged a peer review of the actual appraisal discussion (either recorded or in person – with permission from the appraisee). The simplified form can be used for self-assessment and potential development.