One would think that work-based assessment would be a useful tool for doctors. Ideally, we would hope that doctors assess their performance and use this as a tool to improve. We can imagine that continuously updating their education and performance would be especially desirable for doctors. However, a recent review [BMJ 2010;341:c5064doi:10.1136/bmj.c5064] on the impact of work based assessment on doctors’ education and performance found little evidence that such assessments act as an educational initiative. There was limited evidence for multi-source feedback. Put simply, there was little evidence that assessing work performance was leading to actual behaviour change among doctors.
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