iSPOT: Creation and Implementation of a National Peer Observation and Feedback Program.

Abstract

Background and objectives: Peer observation and feedback (POF) enables clinicians to observe one another and learn concrete strategies for improvement. In a 2019 national study, pediatric hospitalists endorsed a desire for POF. We describe a national POF faculty development program designed to formalize, standardize, and normalize POF in pediatric hospital medicine (PHM), along with lessons learned.

Methods: Participants and site leads were recruited via the American Academy of Pediatrics Section on Hospital Medicine listserv and offered maintenance of certification (MOC) part 4 credit. Participants submitted a self-assessment with personal goals and attended webinars during which education was provided and data reviewed. Participants completed at least 2 observations in a calendar year. Site leaders collected data and implemented interventions to increase POF events. Baseline and quarterly data were collected for 12 months and subsequently 6 months post implementation. Data presented include site characteristics, facilitators of project completion, and outcomes.

Results: POF events increased by 149% from the overall baseline and improvement was sustained by 6 sites. Twenty of 21 sites achieved one Specific/Measurable/Achievable/Relevant/Time Bound aim. Self-reported confidence in delivering feedback and measures of peer connection improved significantly. Seventy-four percent of enrollees completed the program and 92% recommended ongoing participation. One hundred percent of site leads responding to a postprogram survey were satisfied with the program.

Conclusions: A national MOC program for faculty development through POF provided incentives and infrastructure to increase POF across diverse institutions. This program serves as a model for other national collaboratives in education and faculty development initiatives.