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The Oakwood Surgery
Registrar Training Handbook
“Excellence in education”
You are required to undertake a GP based service improvement activity in your 3 years of training. Usually, this is undertaken as a clinical audit. This should be inline with COGPED guidance and utilise the following headings:
1. Reason for choice of audit
2. Criterion/Criteria Chosen and why
3. Standards set and why
4. Preparation and Planning
5. Data Collection (1) and comparison to standards set
6. Change(s) to be evaluated
7. Data Collection (2) and comparison to standards set
Ideally, you should perform the first data collection for your audit in your first 6 months of GP training, in order to allow time for your changes to be implemented and the second data collection to be completed in the final year of GP training. You are always welcome to return to the practice to complete your audit after your attachment has finished, for example during your hospital posts, or if your second GP attachment is with another practice. You are entitle to use study leave to do this
The choice of audit topic is yours, but should be something that is of interest to you and hopefully of benefit to the practice population. In choosing your topic, you may wish to try and tie in with the practice’s audit programme.
SystmOne has data search capabilities which you will find of significant benefit. Talk to Tina or Jane and they will help you to collect your data.
Definition Of Audit
“The process to assess, evaluate and improve the care of patients in a systematic way in order to enhance their health and quality of life”
There are many reasons to do audit and these include:
Improvement in patient care
Improvement of efficiency within the practice
Less chance for clinical and organisational errors to occur
Improvement of effectiveness
Demonstration of good care
Meeting patient needs
Bidding for resources (particularly if change is needed to make improvements)
Promotes higher standards in secondary care
You have to do one GP based quality improvement project as part of MRCGP
AUDIT IN 9 EASY STAGES…
CHOOSE A TOPIC TO AUDIT.
Demonstrate consideration of several topics and be able to state the objective of the audit.
What do you want to look at?
What is measurable?
Examine local literature for expected standards including guidelines
Discuss them with the Team
Be able to evaluate appropriate standards for the selected audit topic
DECIDE ON METHODOLOGY
How will the data be collected and what sample size and type will be used?
Design a way that can be used to collect relevant data, e.g. data collection sheet
This is usually done in a specified timescale
ANALYSE THE RESULTS AGAINST CRITERIA AND STANDARDS
What criteria do not meet the set standards?
RECOMMENDATIONS FOR CHANGE
These should have an impact on the standards that are currently not met
After an appropriate timescale has passed, repeat the audit. This should allow you to see improvements