Objectives To assess the utility of a 360 degree appraisal tool developed specifically for paediatric intensive care trainees as an aid to developing skills and competencies.
Methods An appraisal tool was devised based on that utilised by the Royal College of Paediatrics, UK. Every 6 months each trainee completed a self assessment form grading their personal attributes, interpersonal skills and clinical skills. Each trainee was also assessed by a consultant, a fellow trainee and a sister/charge nurse on the ICU. Appraisers were picked randomly and anonymously but had to have worked at least two shifts with the trainee in the previous month. Scores were collated and fed back to each trainee with the offer of a feedback meeting. After 18 months trainees were asked to fill in an appraisal feedback form.
Results 74 forms were completed (2 years). 92% of trainees took up the offer of an appraisal feedback meeting. Sixteen current trainees were contacted after 18 months to fill in feedback forms; 10 forms were returned. 10/10 were happy to participate in the scheme and 9/10 felt the appraisal helped meet their training needs; 9/10 felt that the anonymised system was fairer; 80% felt that the appraisal helped them focus on particular areas of performance; 3/10 felt surprised by worse results than anticipated but commented that this enabled them to target their team working efforts; 7/10 achieved better results than expected.
Conclusion A 360 degree appraisal system devised for PICU trainees appears to offer benefits for trainees and enhanced team working.