1. 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

2. What Is POSSE? Novel CME program Web administered Low Cost
Self-Directed Learning by Peers

3. 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

4. Peer Review Peer teaching is valued Peer feedback is powerful
360° Evaluation

5. Providing Feedback to Peers
Potential for conflict
Appropriate setting
Behavior specific observations
Atmosphere of respect
See Website for:
“Tips for Providing Feedback to Peers”

6. 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

7. The Process Visitor seeks a host based on their learning goals EHR?
High Productivity?
Underserved care?
Group Visits?
Multidisciplinary model?
Solo Practice?

8. 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

9. 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

10. Getting Started

20. 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.

21. Measurable and verifiable changes in preparation for program evaluation.

24. Program Evaluation Form Assesses Participant Perception of
Achieving stated learning goals
Peer feedback as a learning tool
Ongoing collegial relationship
This form of CME

25. Ongoing Evaluation Intention to change Challenges for methodology
One change will be measured at intervals
Challenges for methodology
Different practice changes for each participant

26. We do learn by teaching each other!
Questions?
We do learn by teaching each other!