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Related Experiment Videos

Audit and summative assessment: a completed audit cycle.

J R Lough1, T S Murray

  • 1Department of Postgraduate Medical Education, University of Glasgow, Glasgow, UK.

Medical Education
|April 25, 2001
PubMed
Summary

A new audit cycle system effectively assesses general practitioner registrars. This method is feasible, retains high sensitivity and specificity, and simplifies the assessment process for both registrars and trainers.

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Area of Science:

  • Medical Education
  • General Practice Training
  • Quality Improvement

Background:

  • Summative assessment of general practitioner registrars is crucial for ensuring competent medical professionals.
  • The audit cycle is a key component of continuous quality improvement in healthcare settings.
  • Existing assessment methods may not fully capture registrar competence in critical analysis and change management.

Purpose of the Study:

  • To develop and validate a system for completing the audit cycle as a summative assessment tool for UK general practice registrars.
  • To evaluate the feasibility, sensitivity, and specificity of this new assessment system.

Main Methods:

  • A trainer-based questionnaire established criteria for a completed audit cycle.
  • Two marking exercises were conducted using audit projects submitted by general practice registrars.

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  • The study involved training practices and registrars in the West of Scotland from 1997-1998.

    • Main Results:

    • 89% of trainers agreed that two data collections are essential for audit projects.
    • All 57 registrars successfully completed an audit cycle, with 12% requiring resubmission.
    • The marking instrument demonstrated 95% sensitivity and 77% specificity with fewer assessors.

    Conclusions:

    • A completed audit cycle is a feasible method for assessing a general practice registrar's ability to critically analyze and manage change.
    • The developed system maintains adequate sensitivity and specificity while reducing the number of required assessors.
    • The process was found to be manageable or easier than anticipated by the majority of registrars.