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Physician self-audit: a scoping review
Anna R Gagliardi1, Melissa C Brouwers, Antonio Finelli
1CIHR New Investigator in Knowledge Translation, University of Toronto, Department of Surgery and Health Policy, Canada. anna.gagliardi@uhnresearch.ca
The Journal of Continuing Education in the Health Professions
|December 23, 2011
Summary
Physician self-audit, collecting personal performance data, can improve care quality. However, few physicians participate, and current programs lack clear guidance and rigorous evaluation for optimal impact.
Area of Science:
- Medical Education
- Healthcare Quality Improvement
- Professional Development
Background:
- Self-audit involves collecting personal performance data and identifying gaps against standards.
- It aims to stimulate learning and quality improvement among healthcare providers.
- Despite potential benefits, physician engagement in self-audit remains low.
Purpose of the Study:
- To identify how self-audit programs are operationalized.
- To determine factors influencing self-audit conduct and outcomes.
- To explore issues requiring further research in self-audit.
Main Methods:
- A systematic review of quantitative and qualitative studies was conducted.
- Literature searches of indexed databases, tables of contents, and references were performed.
- Data extraction and tabulation described the nature and impact of self-audit programs.
Main Results:
- Six studies evaluated self-audit programs; none were theory-based.
- All programs showed improved guideline compliance or patient outcomes, often self-reported.
- Program variations prevented identification of specific beneficial features.
Conclusions:
- There is a need for comprehensive guidance on self-audit for participants and leaders.
- Guidance is crucial for educators, professional bodies, and certification boards.
- Future research should focus on rigorous designs, training programs, and diverse competencies.
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