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Enhancing Performance Through Self Audit and Peer Review Print E-mail
The Quarterly 2012


Background
In September 2010 RACMA surveyed all of its rural Fellows and Associate Fellows throughout Australia. There were numerous references to the need for peer review programs for professionally and geographically isolated individuals. The RACMA CEP Committee established a Peer Review Working Party that reviewed the literature on the subject and wrote a discussion paper with corresponding recommendations that were the impetus for the development of this program. The College was successful in securing a Rural Health Continuing Education grant, supported by the Department of Health and Ageing, in order to develop and implement this program entitled Enhancing performance through Self Audit and Peer Review (SA&PR).

Synopsis
The Enhancing performance through Self Audit and Peer Review program will establish a network of medical managers and clinician managers throughout rural and remote Australia to participate in a process of professional development through self audit and peer review relating to competencies in clinical leadership and management.

Pilot program
The Royal Australasian College of Medical Administrators (RACMA) will shortly commence a pilot study of a self-audit and peer review program for specialist medical managers and clinician managers to participate in. The tool will focus on peers assessing the participant’s clinical leadership and management competency rather than their clinical practice.

Participants will be required to nominate 15 peers to be involved in providing feedback, and will also need to nominate a mentor who will be responsible for providing one-on-one feedback of the review results. Participants and peers will then engage in a confidential on-line survey with the participant receiving a de-identified report of the feedback.

The mentor will assist the participant in developing a performance plan based on the feedback that has been provided by the peers. Vocational specialist support will be provided to both participants and mentors at a workshop on how to interpret the results of the review and incorporate those into a professional development program.

Following a review of the Pilot, there will be four review groups held before the end of 2012. Both the pilot and the four subsequent rounds will be limited to a maximum of 15 participants.

Pilot participation is open to specialist medical managers (Fellows of the RACMA), other RACMA members and specialists from other colleges that occupy management or leadership roles.

A steering committee comprising rural representatives from RACMA and other specialist medical colleges (including RACS, RANZCP, RACP, ACRRM, ACEM and ANZCA) met at the end of 2011 and continue to direct the program’s development and implementation.

Program aims:
The aims of the program include:

  • Improve the participant's self-awareness and reflection about professional standards, knowledge about their own management and leadership styles and performance issues. Their participation in the Self Audit and Peer Review activity will improve networking and collegiality, provide access to supportive resources, enhance management performance and leadership skills, improve professional satisfaction, encourage peer review, reduce the impact of professional isolation, and enhance their management performance and leadership skills;
  • Gain a broader understanding of management and leadership competencies;
  • Create a safe and supportive feedback system;
  • Develop critical self-appraisal skills when reflecting on own performance and comments from others;
  • Communicate effectively with peers from multi-disciplinary backgrounds;
  • Build effective and strategic relationships with clinicians and specialists, from various disciplines, both locally and across Australia thereby reducing professional isolation;
  • Recognise that although peers often have different management and leadership skills, many of their strategies and qualities can be integrated into one’s own learning and development, and
  • The improved competence of specialists participating in the program will enhance the individual’s professional satisfaction and quality of service that they provide to their community.


Categories for feedback:
There are seven categories for feedback in the SA&PR tool as follows:

  1. LEADERSHIP SKILLS
  2. MANAGEMENT STYLE AND ACUMEN
  3. EFFECTIVE COMMUNICATOR
  4. PERSONAL BEHAVIOUR
  5. PROFESSIONAL DEVELOPMENT AND EDUCATIONAL OPPORTUNITIES
  6. WORKING WITH OTHERS
  7. PATIENT CENTRED CARE


SA&PR Tool Ratings:
The feedback ratings for the SA&PR tool are: Strongly agree, agree, partially agree, partially disagree, disagree, strongly disagree, not applicable / not observed.

Who would constitute a ‘Peer’?
There has been much discussion around who would constitute a ‘peer’, and while it was accepted that a patient(s) would not participate in a peer review, it would be necessary for the project group to develop a specific list (multi-disciplinary) of those designations which would be able to provide feedback (those people with regular contact with the person being reviewed). These could include: immediate supervisors, chief executive, nursing staff, HR managers, NGOs, and community groups.

Evaluation
Participants will also be surveyed at least six months after their involvement in the program to track their progress and development to ensure that the process does not end simply with the provision of feedback. The Self Audit and Peer Review Steering Committee will examine the feedback from each of the planned rounds, the online discussions, and evaluation surveys and prepare a report about the perceived merits of the Self Audit and Peer Review process.

Contact
If you would like to be involved in this pilot program then contact Harry Curlis on This e-mail address is being protected from spambots. You need JavaScript enabled to view it or +61 3 9824 4699 by close of business on Friday 16th March 2012.

Acknowledgement
This Project has been funded by the Department of Health and Ageing under the Rural Health Continuing Education Sub-program (RHCE) Stream One which is managed by the Committee of Presidents of Medical Colleges. The Royal Australasian College of Medical Administrators is solely responsible for the content of, and views expressed in any material associated with this Project.


Mr Harry Curlis
RACMA SA&PR Coordinator



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Last Updated on Friday, 17 July 2015 14:15