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Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance

John Martyn Chamberlain, Marty Chamberlain Orcid Logo

Sociological Research Online, Volume: 15, Issue: 1

Swansea University Author: Marty Chamberlain Orcid Logo

DOI (Published version): 10.5153/sro.2099

Abstract

This paper discusses the findings of research exploring the conduct of portfolio-based performance appraisal within medicine. Portfolios are now used throughout medical school and junior doctor training, in later specialist training, as well as to support the implementation of annual NHS appraisal o...

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Published in: Sociological Research Online
Published: 2010
Online Access: http://www.socresonline.org.uk/home.html
URI: https://cronfa.swan.ac.uk/Record/cronfa29713
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spelling 2017-05-11T09:49:06.0085711 v2 29713 2016-09-02 Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance 98bbc13e72a7ce4126a562a668e50144 0000-0001-6067-6561 Marty Chamberlain Marty Chamberlain true false 2016-09-02 CRIM This paper discusses the findings of research exploring the conduct of portfolio-based performance appraisal within medicine. Portfolios are now used throughout medical school and junior doctor training, in later specialist training, as well as to support the implementation of annual NHS appraisal of doctors as part of their employment contract. They will also play a role in the new medical governance quality assurance process known as revalidation, when it is implemented in 2010. The paper discusses how the growth of portfolio-based performance appraisal within medicine is bound up with the growth of managerial systems of surveillance and control within western health care systems. Theoretically, it draws upon a Governmentality perspective to analyse doctor's accounts of the appraisal process. This views appraisal as an information panopticon that to better enable social control seeks to construct appraisees as calculable and administrable subjects. However, the paper highlights how the doctors interviewed used the tacit dimensions of their expertise to engage in creative game-playing toward appraisal, adopting a stance of paperwork compliance toward it. Paperwork compliance leaves a paper trail that makes it appear doctors have complied with the technical requirements of performance appraisal when in fact they have not. The paper concludes that current reforms to medical governance introduced to ensure the general public is protected from medical error and malpractice, provide sociologists with an invaluable opportunity to undertake a dedicated research program into the performance management of medical work Journal Article Sociological Research Online 15 1 Annual Appraisal, Audit Society,, Governmentality, Medical Autonomy, Medical Regulation, Paperwork Compliance, Performance Appraisal, Revalidation 28 2 2010 2010-02-28 10.5153/sro.2099 http://www.socresonline.org.uk/home.html COLLEGE NANME Criminology COLLEGE CODE CRIM Swansea University 2017-05-11T09:49:06.0085711 2016-09-02T18:17:27.1394429 Faculty of Humanities and Social Sciences Hilary Rodham Clinton School of Law John Martyn Chamberlain 1 Marty Chamberlain 0000-0001-6067-6561 2 0029713-11052017094851.pdf MedicalSociologyOnline.pdf 2017-05-11T09:48:51.6730000 Output 378967 application/pdf Accepted Manuscript true 2017-05-11T00:00:00.0000000 true eng
title Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance
spellingShingle Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance
Marty Chamberlain
title_short Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance
title_full Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance
title_fullStr Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance
title_full_unstemmed Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance
title_sort Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance
author_id_str_mv 98bbc13e72a7ce4126a562a668e50144
author_id_fullname_str_mv 98bbc13e72a7ce4126a562a668e50144_***_Marty Chamberlain
author Marty Chamberlain
author2 John Martyn Chamberlain
Marty Chamberlain
format Journal article
container_title Sociological Research Online
container_volume 15
container_issue 1
publishDate 2010
institution Swansea University
doi_str_mv 10.5153/sro.2099
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str Hilary Rodham Clinton School of Law{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}Hilary Rodham Clinton School of Law
url http://www.socresonline.org.uk/home.html
document_store_str 1
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description This paper discusses the findings of research exploring the conduct of portfolio-based performance appraisal within medicine. Portfolios are now used throughout medical school and junior doctor training, in later specialist training, as well as to support the implementation of annual NHS appraisal of doctors as part of their employment contract. They will also play a role in the new medical governance quality assurance process known as revalidation, when it is implemented in 2010. The paper discusses how the growth of portfolio-based performance appraisal within medicine is bound up with the growth of managerial systems of surveillance and control within western health care systems. Theoretically, it draws upon a Governmentality perspective to analyse doctor's accounts of the appraisal process. This views appraisal as an information panopticon that to better enable social control seeks to construct appraisees as calculable and administrable subjects. However, the paper highlights how the doctors interviewed used the tacit dimensions of their expertise to engage in creative game-playing toward appraisal, adopting a stance of paperwork compliance toward it. Paperwork compliance leaves a paper trail that makes it appear doctors have complied with the technical requirements of performance appraisal when in fact they have not. The paper concludes that current reforms to medical governance introduced to ensure the general public is protected from medical error and malpractice, provide sociologists with an invaluable opportunity to undertake a dedicated research program into the performance management of medical work
published_date 2010-02-28T03:36:10Z
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score 11.037603

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