Peer Review Groups: Problems and Solutions

Abstract

Objective: To elucidate and delineate principles for dealing with problems encountered in peer review groups.

Method: A workshop format was utilised in which a number of interested psychiatrists were invited to rote-play specific problems which occurred in established peer review groups, and reported in recent research studies. Process notes or videotapes were used to record proceedings. Principles were delineated for the management of five specific problems via role-play and discussion.

Results: Principles have been delineated for the management of the following problems reported by peer review groups: dominating group member; member with disturbing behaviour; member providing inadequate treatment; member transgressing treatment boundaries; and group members strongly disagreeing about the management of a case.

Conclusion: Problems encountered within peer review groups were adequately replicated during role-played enactments. The workshop format offered a means of engaging with these, allowing exploration and subsequent resolution of problems which had not proved resolvable in the real group peer review situation.