Peer Observation,Support and Self Evaluation: POSSE “We Learn Through Helping Each Other” Tracy Kedian, MD University of Massachusetts Medical School Wayne Altman, MD Michael Coffey, MD Kristen Goodell, MD Tufts University School of Medicine
What Is POSSE? Novel CME program Web administered Low Cost Self-Directed Learning by Peers
Origins of POSSE POS – a faculty development program Tufts Family Medicine faculty Ongoing Development Applied to clinical care Expanded to all MA Family Physicians Web administered
Peer Review Peer teaching is valued Peer feedback is powerful 360° Evaluation
Providing Feedback to Peers Potential for conflict Appropriate setting Behavior specific observations Atmosphere of respect See Website for: “Tips for Providing Feedback to Peers”
Bidirectional ↔ Learning The Learning Team Host Physician Bios available on website Sees usual patient schedule Arranges for meetings Answers questions and hears feedback Visiting Colleague Initiates contact Chooses a host with similar interests Articulates learning goals Travels Bidirectional ↔ Learning
The Process Visitor seeks a host based on their learning goals EHR? High Productivity? Underserved care? Group Visits? Multidisciplinary model? Solo Practice?
Visitor and Host Set their goals: Feedback Sessions Pre-POSSE Goals Plus-Delta Form Feedback Sessions At the end of the day Intention to Change Measurable goals which will be evaluated Program Evaluation
CME 9 Credits of Category 1 CME $95 for participants Awarded by the AAFP $95 for participants $45 for faculty and community preceptors affiliated with UMass and Tufts
Getting Started www.POSSEcme.org
Plus-Delta form is printed prior to the session and the visiting colleague will bring it with them to aid in recording their feedback and questions.
Measurable and verifiable changes in preparation for program evaluation.
Program Evaluation Form Assesses Participant Perception of Achieving stated learning goals Peer feedback as a learning tool Ongoing collegial relationship This form of CME
Ongoing Evaluation Intention to change Challenges for methodology One change will be measured at intervals Challenges for methodology Different practice changes for each participant
We do learn by teaching each other! Questions? www.POSSEcme.org We do learn by teaching each other!