• Kendall Ho, University of British Columbia
• Graydon Meneilly, University of British Columbia
• Barry Koehler, University of British Columbia
• Raheem Kherani, University of British Columbia
• Shahin Jamal , University of British Columbia
• Kevin Eva, University of British Columbia
• David Collins, University of British Columbia
• Helen Novak Lauscher, University of British Columbia
• Alex Fung, University of British Columbia
• Christopher Yao, University of British Columbia
• Kam Shojania, University of British Columbia

Background/Rationale: Video review processes for evaluation and coaching are often incorporated into medical education. Video-based peer evaluations can potentially overcome logistical challenges and accurately capture physician-patient interactions compared to direct observation. However, the literature in this domain is limited.

Purpose: This study aims to explore the acceptability and feasibility of video-based peer consultations to support professional development and quality improvement in patient care.

Method: Five rheumatologists, with a camera placed in their exam rooms, each provided four videos of patient consultations. Peers assessed the videos by using a questionnaire based on a five-point scale, providing annotations in the video recordings, and offering recommendations. The rheumatologists reviewed the videos of their own four patient interactions along with the feedback. They were asked to document if they would make practice changes based on the feedback. Focus groups were conducted and analysed to explore the effectiveness of video-based peer assessment in assisting physicians on improving clinical practice.

Results: Participants felt the video-based consultation provided accurate and detailed information in a more convenient, less intrusive manner than direct observation. They suggested that reviewing the recorded consultations allowed them to reflect on their practice and gain insight into other potentially valuable communication methods. Three of five participants felt the feedback would help them make practice changes.

Conclusion: Video-based peer consultation, along with clinicians’ ability to view their own performance, is an acceptable and feasible approach to support professional development and improve clinical care among rheumatologists. Further investigation into the effectiveness of this approach is needed.