Practice Improvement and Education » Publications about PAR

Practice Improvement and Education

Publications about PAR

PAR Excellence - CPSA's newsletter about the PAR Program

Nova Scotia Physician Achievement Review (NSPAR) program
NSPAR Interpretation Guide

In 2008, the NSPAR program and Dalhousie University collected feedback from physicians to determine what affects the ratings physicians receive from their peers during an NSPAR review. The results have been compiled and are available in the NSPAR Interpretation Guide (used by permission).

The Nova Scotia Physician Achievement Review (NSPAR) program is the peer assessment program of the College of Physicians and Surgeons of Nova Scotia. For more information, visit the NSPAR website.

Bibliography of Articles by PAR Program Instrument Development and Assessment Team

Assessment of physician performance in Alberta: the physician achievement review. Hall W, et al CMAJ 1999 Jul 13;161(1):52-7
Changing physicians' practices: the effect of individual feedback. Fidler H, et al. Academic Medicine 74: 702-714 (1999)
Violato C, Marini A, Toews J, Lockyer J, and Fidler H, Feasibility and Psychometric Properties of Using Peers, Consulting Physicians, Co-workers, and Patients to Assess Physicians, Academic Medicine, 1997 (supplement); 72 S82-S84
Fidler H, Lockyer J, Toews J, and Violato C, Changing Physicians' Practices: The Effect of Individual Feedback, Academic Medicine, 1999; 74: 702-714.
Hall W, Violato C, Lewkonia, R, Lockyer J, Fidler H, Toews J, Jennett P, Donoff M, Moores D, Assessment of physician performance in Alberta: the Physician Achievement Review Project, Canadian Medical Association Journal, 1999; 161:52-57. Abstract Full text
Dissertation
Lockyer J, Ph.D. Dissertation: Role of Socio Demographic Variables and Continuing Medical Education in Explaining Multi Source Feedback Ratings and Use of Feedback by Physicians. University of Calgary, 2002.
Violato, C, Lockyer, JM, Fidler H, Multi source feedback: A method of assessing surgical practice, British Medical Journal, 2003; 326: 546-548.
Lockyer, J, Violato C, Fidler H, Likelihood of Change: A study assessing surgeon use of multi source feedback data. Teaching and Learning in Medicine, 2003; 15: 168-174.
Lockyer J, Multi source feedback in the assessment of physician competencies. Journal of Continuing Education in the Health Professions, 2003; 23(1): 23: 4-12.
Lockyer J, Violato C, An examination of the appropriateness of using a common peer assessment instrument to assess physician skills across specialties, Academic Medicine 2004; 10 (suppl): In Press.
Nova Scotia PAR
Sargeant JM, Mann KV, Ferrier SN, Langille DB, Muirhead PD, Sinclair DE. Responses of rural family physicians and their colleagues and coworker raters to a multi-source feedback process: a pilot study. Academic Medicine, 2003: 78 (S10): S42-S44.
Lockyer J, Violato C, An examination of the appropriateness of using a common peer assessment instrument to assess physician skills across specialties, Academic Medicine 2004; 10 (supplement): S5 - 8. Due to copyright issues, the article cannot be copied.
Lockyer JM, Violato C, Fidler H, A multisource feedback program for anesthesiologists (Un programme de rétroaction multisources pour les anesthésiologists), Can J of Anesthesia, 2006, 53:33-39
Violato C, Lockyer JM, Fidler H, the Assessment of pediatricians by a regulatory authority, Pediatrics, 2006, 117: 796 - 802
Violato C, Lockyer J, Self and peer assessment of pediatricians, psychiatrists and medicine specialists: Implications for self-directed learning, Advances in Health Science Education, 2006, 11:235-244
Lockyer J, Blackmore D, Fidler H, Crutcher R, Salte B, Shaw K, Ward B, Wolfish N, A study of a multi source feedback system for international medical graduates holding defined licenses, Medical Education 2006; 40: 340-347.
Lockyer JM, Violato C, Fidler H, The assessment of emergency physicians by a regulatory authority. Academic Emergency Medicine, 2006. 13(12):1296-303
Lockyer J, Violato C, Fidler H, What multi source feedback factors influence physician self assessments? A five year longitudinal study, Acad Med 2007, 82(10S): 77 – 80
Lockyer J, Violato C, Fidler H, The assessment of radiologists through a multi source feedback tool, Radiology 2008, In Press.
Sargeant J, Mann K, Ferrier S. Understanding family physicians reactions to MSF performance assessment: perceptions of credibility and usefulness. Med Educ, 2005. 39:497-504
Sargeant J, Mann K, Sinclair D, Ferrier S, Muirhead P, van der Vleuten C, Metsemakers J Learning in practice: Experiences and perceptions of high scoring physicians, Acad Med 2006, 81(7):655-660
Sargeant J, Mann K, Sinclair D, van der Vleuten C, Metsemakers J, Understanding the influence of emotions and reflection upon multi-source feedback acceptance and use, Adv in Health Sci Educ 2006, 10.1007/s10459-006-9039-x
Sargeant J, Mann K, Sinclair D, van der Vleuten C, Metsemakers J,Challenges in multi source feedback: Intended and unintended consequences, Medical Education 2007, 41(6):581-596
Violato C, Lockyer J, Fidler H, The assessment of psychiatrists in practice through multi source feedback, Canadian Journal of Psychiatry 2008, In Press.

Citations of PAR Work by other Researchers

Evans R, Elwyn G, Edwards A, Review of instruments for peer assessment of physicians, BMJ 2004; 328: 1240-1245
Finucane, Paul M, Bourgeoise-Law, Gisèle A, Ineson, Sue L, and Kaigas, Tina M, A Comparison of Performance Assessment Programs for Medical Practitioners in Canada, Australia, New Zealand, and the United Kingdom. Academic Medicine 2003; 78(8):837-842.
Melnick, D.E., Asch, D.A., Blackmore, D.E., Klass, D.J., and Norcini, J.J., Conceptual challenges in tailoring physician performance assessment to individual practice. Medical Education 2002; 36:931-935.
Cohen, R, Amiel, G.E., Tann, M., Schechter, A., Weingarten, M., and Reis, S., Performance Assessment of Community-based Physicians: Evaluating the Reliability and Validity of a Tool for Determining CME Needs. Academic Medicine, 2002; 77(12): 1247-1254.
Dauphinee, W.D., Revalidation of Doctors in Canada. British Medical Journal, 1999; 319(7218): 1188-119