A multisource feedback tool to assess ward round leadership skills of senior paediatric trainees: (1) Development of tool.
BACKGROUND
Leading a ward round is an essential skill for hospital consultants and senior trainees but is rarely assessed during training.


OBJECTIVE
To investigate the key attributes for ward round leadership and to use these results to develop a multisource feedback (MSF) tool to assess the ward round leadership skills of senior specialist trainees.


METHODS
A panel of experts comprising four senior paediatric consultants and two nurse managers were interviewed from May to August 2009. From analysis of the interview transcripts, 10 key themes emerged. A structured questionnaire based on the key themes was designed and sent electronically to paediatric consultants, nurses and trainees at a large university hospital (June-October 2010).


RESULTS
81 consultants, nurses and trainees responded to the survey. The internal consistency of this tool was high (Cronbach's α 0.95). Factor analysis showed that five factors accounted for 72% of variance. The five key areas for ward round leadership were communication skills, preparation and organisation, teaching and enthusiasm, team working and punctuality; communication was the most important key theme. A MSF tool for ward round leadership skills was developed with these areas as five domains.


CONCLUSIONS
We believe that this tool will add to the current assessment tools available by providing feedback about ward round leadership skills.
Department of Paediatrics, Health Education West Midlands, Birmingham, UK 
Indumathy
I
Lakshminarayana
Centre for Medical Education, Dundee University, Dundee, UK.
David
D
Wall
Department of Paediatrics, Alexandra Hospital, Redditch, West Midlands, UK.
Taruna
T
Bindal
Department of Paediatrics, Health Education West Midlands, Birmingham, UK 
Helen M
HM
Goodyear
D057189:Checklist; D002983:Clinical Competence / Q000592:standards*; D003142:Communication; D003253:Consultants / Q000523:psychology; D000068156:Formative Feedback; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D008505:Medical Staff, Hospital / Q000193:education / Q000523:psychology; D017145:Models, Educational; D009720:Nurse Clinicians / Q000523:psychology; D010372:Pediatrics / Q000193:education*; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D056164:Teaching Rounds / Q000592:standards*; D006113:United Kingdom
MEDICAL EDUCATION & TRAINING