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Colleague Feedback Questionnaire

Create an image of a doctor receiving feedback from colleagues in a healthcare setting, with people engaged in a constructive discussion, emphasizing professionalism and teamwork.

Colleague Feedback Questionnaire

This questionnaire is designed to help licensed doctors gain 360-degree feedback from their colleagues, providing valuable insights for personal and professional development.

Key Features:

Anonymous feedback from peers
Covers critical areas of clinical practice
Helps inform further development and training

28 Questions7 MinutesCreated by ReflectiveDoctor231

GMC Colleague feedback questionnaire- Multisource feedback (MSF) 360-degree

Licensed doctors are expected to seek feedback from colleagues and review and act upon that feedback where appropriate. The purpose of this exercise is to provide doctors with information about their work through the eyes of those they work with, and is intended to help inform their further development. Please do not write your name on this questionnaire. No one will be identified when this information is given back to the doctor. Please answer all the questions. If you feel you cannot answer any question, please tick ‘Don’t know’.

GMC Colleague feedback questionnaire- Multisource feedback (MSF) 360-degree

Date:

Please rate your colleague in each of the following areas by ticking one box in each line.

1 Clinical knowledge:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

2 Diagnosis:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

3 Clinical decision making:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

4 Treatment (including practical procedures):

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

5 Prescribing:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

6 Medical record keeping:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

7 Recognizing and working within limitations:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

8 Keeping knowledge and skills up to date:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

9 Reviewing and reflecting on own performance:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

10 Teaching (students, trainees, others):

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

11 Supervising colleagues:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

12 Commitment to care and wellbeing of patients:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

13 Communication with patients and relatives:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

14 Working effectively with colleagues:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

15 Effective time management:

Poor

Less than satisfactory

Satisfactory

Good

Very good

Don't know

Please decide how far you agree with the following statements by ticking one box in each line

16 This doctor respects patient confidentiality:

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Don't know

17 This doctor is honest and trustworthy:

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Don't know

18 This doctor’s performance is not impaired by ill health:

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Don't know

19 This doctor is fit to practise medicine:

Yes

Don't know

20 Please add any other comments you want to make about this doctor.

The next questions will give us some information about who took part in the survey.

21 What is your role?

Doctor

Registered nurse

Health Care Assistant

Allied Healthcare Professional

Health Visitor/Midwife

Administrator/Receptionist/Secretary

Non-clinical Manager

Pharmacist

Other

22 How recently have you been familiar with this doctor’s practice?

Current colleague

Within the last 2 years

2 - 5 years ago

6 - 10 years ago

10 +years ago

23 How often do you have contact with the doctor?

Most days

Weekly

Monthly

Less often

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