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Related Experiment Videos

General practitioner reaccreditation: use of performance indicators

G Houghton

    The British Journal of General Practice : the Journal of the Royal College of General Practitioners
    |December 1, 1995
    PubMed
    Summary

    This study proposes a new model for general practitioner reaccreditation using performance indicators. It suggests automatic reaccreditation for GPs meeting targets, with further assessment only for those underperforming.

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    Area of Science:

    • Medical Education
    • Health Services Management
    • General Practice

    Background:

    • The reaccreditation of general practitioners (GPs) has been a subject of ongoing debate among key medical bodies.
    • Previous experiences with summative assessment for GP registrars and training practice visits informed this proposal.

    Purpose of the Study:

    • To propose a cost-effective and logistically feasible model for the reaccreditation of all general practitioners.
    • To develop a system that is professionally led and responsive to patient and health service manager needs.

    Main Methods:

    • Utilizing publicly available family health services authority data as initial performance indicators for professional competence.
    • Evaluating the correlation between proposed performance indicators (educational commitments, prescribing data, health promotion, immunization, service elements) and General Medical Council attributes for independent practice.

    Main Results:

    • A model is proposed where GPs meeting set performance indicator targets receive automatic reaccreditation.
    • Substandard practitioners would undergo further assessment by peer review teams, potentially leading to remedial education.

    Conclusions:

    • The proposed model offers a potentially inexpensive and simple system for GP reaccreditation.
    • This approach complements existing General Medical Council schemes for addressing persistent poor performance.

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