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Updated: Jun 21, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
[Self-audit and tutor accreditation].
Matilde Ezquerra Lezcano1, Carmen Tamayo Ojeda, Silvia Calvet Junoy
1Unidad Docente de Medicina Familiar y Comunitaria del Consorcio Sanitario de Terrassa, Barcelona, España. mezquerra@cst.cat
Family and community medicine tutors often lack knowledge of self-audit (SA) methodology. While useful for improving clinical practice, SA is not considered an effective tool for tutor accreditation.
Area of Science:
- Medical Education
- Quality Improvement in Healthcare
- Primary Care Research
Context:
- Study conducted in Family and Community Medicine Teaching Units in Catalonia.
- Involved tutors from July 2001 to July 2008.
- Utilized a retrospective descriptive design with an opinion questionnaire.
Purpose:
- To evaluate the experience and knowledge of tutors regarding self-audit (SA) for accreditation.
- To analyze the effectiveness of SA as a method for accrediting medical tutors.
- To gather tutor opinions on the SA methodology.
Summary:
- 673 self-audits were analyzed, with diabetes mellitus being the most frequent topic.
- Methodological evaluation showed 44.5% correct, 45.3% improvable, and 10.2% deficient SA.
- Tutors found SA useful for practice improvement but not for accreditation (66% disagreement).
Impact:
- Highlights a gap in tutor understanding and application of self-audit methodology.
- Suggests a need for improved training and refinement of SA for accreditation purposes.
- Indicates potential for SA to enhance clinical practice quality in primary care.
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