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BMJ 2004;329:171 (17 July), doi:10.1136/bmj.329.7458.171-a
| The first 150 words of the full text of this article appear below. |
EDITOREvans et al reviewed instruments for peer assessment of physicians.1 Decades of experience helping healthcare professionals learn how to seek, give, receive, and process feedback has led to several conclusions.2 Rigorous psychometric techniques have little place when what is being explored is the impact human beings have on one another when they interact face to face.
The primary form of validity that really matters is face validity, specifically because the judgments are subjectivethe "subjects" are human beings. This same fact explains the "poor agreement between observers of the same event" when "humanistic qualities" are of concern. The "observer," after all, is not the person experiencing the event. Furthermore, even when a person exhibits the same behaviour towards two separate people, he or she can, and, as our own research documents, often does, experience the behaviour differently. As well they should, for they, too, are different human beings.
Perhaps
Irwin M Rubin, president
Temenos, 37 Kawananakoa Place, Honolulu, HI 96917, USA temenos@lava.net
Sarah W Fraser, visiting professor
Middlesex University 5 Cuddington Road, Dinton, Aylesbury, Buckinghamshire HP18 0AB