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Related Experiment Videos

Audit and summative assessment: two years' pilot experience

J R Lough1, J McKay, T S Murray

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

Medical Education
|March 1, 1995
PubMed
Summary

Trainee audit projects for assessment boost confidence in practice change, but protected time and trainer support remain challenges. Few trainees evaluate implemented changes, indicating a need for improved guidance and assessment focus.

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Area of Science:

  • Medical Education
  • Healthcare Quality Improvement

Background:

  • Since 1992, audit projects have been a mandatory component of summative assessment for West of Scotland trainees.
  • This study evaluates the impact of two consecutive years of audit participation on trainee experience and practice change.

Purpose of the Study:

  • To assess the effect of mandatory audit projects on trainee confidence in implementing practice changes.
  • To identify persistent challenges trainees face regarding protected time and support during audit projects.
  • To explore the extent to which trainees evaluate changes recommended by their audit projects.

Main Methods:

  • A survey was administered to 117 trainees in May 1994, assessing their experience with two years of audit projects.
  • The survey achieved an 89% response rate, with data collected on confidence, perceived barriers, and evaluation of changes.

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  • Statistical analysis was performed on the collected survey data.

    • Main Results:

    • 89% of respondents participated, with 79% reporting their first practical audit experience.
    • 85% of trainees felt more confident introducing practice changes post-audit.
    • Key challenges included lack of protected time (53%) and insufficient trainer support (33%).
    • Only 12 trainees (not specified percentage) were actively evaluating recommended changes, and 87% rarely or never discussed previous projects.

    Conclusions:

    • Audit projects positively influence trainee confidence in driving practice change.
    • Significant barriers persist, including inadequate protected time and a need for enhanced trainer support.
    • The current assessment process may need refinement to encourage and evaluate the implementation and impact of audit-driven changes.