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Published online before print March 28, 2008, 10.1148/radiol.2473071431
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(Radiology 2008;247:771-778.)
© RSNA, 2008


Health Policy and Practice

Assessment of Radiology Physicians by a Regulatory Authority1

Jocelyn M. Lockyer, PhD, Claudio Violato, PhD, and Herta M. Fidler, MSc

1 From the Office of Continuing Medical Education, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta T2N 4N1, Canada. Received August 10, 2007; revision requested October 15; revision received December 12; accepted January 10, 2008; final version accepted January 12. Supported in part by the College of Physicians and Surgeons of Alberta. Address correspondence to J.M.L. (e-mail: lockyer{at}ucalgary.ca).

Purpose: To determine whether it is possible to develop a feasible, valid, and reliable multisource feedback program for radiologists.

Materials and Methods: Surveys with 38, 29, and 20 items were developed to assess individual radiologists by eight radiologic colleagues (peers), eight referring physicians, and eight co-workers (eg, technicians), respectively, by using five-point scales along with an "unable to assess" category. Radiologists completed a self-assessment on the basis of the peer questionnaire. Items addressed key competencies related to clinical competence, collegiality, professionalism, workplace behavior, and self-management. The study was approved by the University of Calgary Conjoint Health Ethics Research Board.

Results: Data from 190 radiologists were available. The mean numbers of respondents per physician were 7.5 of eight (1259 of 1520, 83%), 7.15 of eight (1337 of 1520, 88%), and 7.5 of eight (1420 of 1520, 93%) for peers, referring physicians, and co-workers, respectively. The internal consistency reliability indicated all instruments had a Cronbach {alpha} of more than 0.95. The generalizability coefficient analysis indicated that the peer, referring physicians, and co-worker instruments achieved a generalizability coefficient of 0.88, 0.79, and 0.87, respectively. The factor analysis indicated that four factors on the colleague questionnaire accounted for 70% of the total variance: clinical competence, collegiality, professional development, and workplace behavior. For the referring physician survey, three factors accounted for 64.1% of the variance: professional development, professional consultation, and professional responsibility. Two factors on the co-worker questionnaire accounted for 63.2% of the total variance: professional responsibility and patient interaction.

Conclusion: The psychometric examination of the data suggests that the instruments developed to assess radiologists are a feasible way to assess radiology practice and provide evidence for validity and reliability.

© RSNA, 2008




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S. Mahgerefteh, J. B. Kruskal, C. S. Yam, A. Blachar, and J. Sosna
Peer Review in Diagnostic Radiology: Current State and a Vision for the Future
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[Abstract] [Full Text]