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Test result audit and feedback (TRAFk) as a supervision method for rational test ordering in general practice
Simon Morgan1, Tony Saltis, Justin Coleman
1MBBS, MPH, FRACGP, General Practitioner and Medical Educator, General Practice Training - Valley to Coast, Newcastle, NSW.
Australian Family Physician
|September 10, 2016
Summary
General practice supervisors found Test Result Audit and Feedback (TRAFk) highly effective for training registrars. This educational intervention improved clinical reasoning, test ordering, and patient safety in primary care.
Area of Science:
- Medical Education
- Primary Care Medicine
- Health Professions Education
Background:
- Increasing medical test utilization in primary care presents interpretation challenges for registrars.
- Over-testing is a growing concern, potentially leading to patient harm.
- Test Result Audit and Feedback (TRAFk) is a recognized supervision method lacking prior utility studies.
Purpose of the Study:
- To evaluate the outcomes of an educational intervention focused on Test Result Audit and Feedback (TRAFk) for general practice supervisors.
Main Methods:
- A workshop on TRAFk was developed and delivered to general practice supervisors.
- Pre- and post-workshop surveys were administered to assess the intervention's impact.
Main Results:
- 79.6% of participating supervisors utilized TRAFk post-workshop.
- Participants reported high satisfaction with TRAFk across supervision domains.
- Key areas of impact included clinical reasoning, test ordering quality, and patient safety.
Conclusions:
- The study confirms the educational value of TRAFk as a supervision method in general practice training.
- TRAFk effectively supports the teaching and assessment of registrars' skills.
- This method enhances registrar competency in managing medical investigations.
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