Other assessment methods

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.

Obtaining feedback

Each doctor you appraise has the opportunity to leave feedback on their appraisal after they have agreed the appraisal summary. This feedback is collated on MARS and once three doctors have left feedback, you, as an appraiser, can view this feedback. On MARS you should go to 'Appraiser'>'Feedback Analytics'.

You're able to view anonymised feedback from the Doctors you have appraised since August 2017.  To ensure anonymity, these are released in batches/multiples of 3. There you must have completed at least 3 since then to view the results. If you have completed 5 appraisals for example, you will only be able to view 3 feedback responses until you have completed a 6th appraisal.

You will need to populate the fields to run a report. There are two surveys available, the initial survey (Appraisal Feedback survey Closed) and the second survey (Medical Appraisal Feedback survey – live, released Oct 2020). You can choose various aspects of the survey to look at (under Pages), and you can find yourself under the Appraiser filter, select the time period and then run the report via the green Search button.

MARS Survey Results Screenshot

You can view your results on the left hand side and compare these results against the all Wales data.

Appraisal Feedback Survey Screenshot

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. 

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.


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