A Google Workspace-Based 360-Degree Evaluation Monitoring System for Competency Assessment of Pediatric Residents

Abstract

The 360-degree evaluation is an essential competency-based assessment for pediatric residents in Thailand, designed to provide multisource feedback aligned with core competencies of residency training, including professionalism, interpersonal and communication skills, patient care, practice-based learning and improvement, and systems-based practice. Mandated by the Royal College of Pediatrics of Thailand, this assessment aims to minimize evaluator bias and reflect performance domains that learners may not be able to self-assess accurately. However, traditional paper-based process encountered challenges such as low response rates, prolonged tracking periods, and increased administrative burden. To address these issues, this quality improvement study implemented a digital workflow utilizing Google Workspace to replace the conventional system. The digital transition was applied alongside comprehensive evaluation guidelines encompassing a diverse group of assessors: attending faculty, fellows, residents, nurses, and medical students. The study compared operational outcomes-specifically the number of procedural steps, tracking duration, and response rates-between the pre- and post-implementation periods. The implementation resulted in reduced the operational steps from 12 to 4 (a 66.67% reduction) and decrease in tracking time from 14 days to 2 days (an 85.71% reduction), Furthermore, the overall evaluation response rate increased significantly from 36% to 85.5% (a 137.5% increase), while achieving tangible reductions in operational costs. In conclusion, integrating a digital 360-degree assessment system enhanced the efficiency, feasibility, and sustainability of competency-based resident evaluation, supporting continuous quality improvement in pediatric residency training.