Objective: This paper presents the findings from a questionnaire-based
survey of psychiatrists designed to elucidate the positive and negati
ve aspects of group peer review and its perceived place in accountabil
ity procedures, and to provide information about how accountability th
rough group peer review might be improved. Method: Three hundred and e
ighty-eight psychiatrists were surveyed via mailout questionnaire. Dem
ographic data, details of groups, and perceptions of beneficial and de
trimental effects of group peer review were sought from group particip
ants and non-participants. Attitudes of participants were compared wit
h those of non-participants. Features of groups related to satisfactio
n in participants were examined. Results: The majority of the 170 resp
ondents participating in groups regarded peer review as a means of mai
ntaining and improving skills, sharing ideas and methods, receiving co
nstructive criticism and feedback, of educational benefit and an impor
tant source of professional accountability. Non-participants, while le
ss positive overall, responded equally that participation in peer revi
ew groups would be an effective response to accountability procedures.
Potential detrimental effects and problems with the functioning of pe
er review groups were elucidated. Conclusions: Group peer review contr
ibutes significantly to professional accountability and education in w
ell-functioning groups. Further strategies for the facilitation of gro
up functioning and for the processing of problems arising in group pee
r review need to be developed to optimise its contribution to the main
tenance and improvement of professional standards.