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Training for audit: lessons still to be learned

J R Lough1, T S Murray

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

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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General practice trainers struggle to identify basic audit criteria, impacting their ability to teach essential audit methods to registrars. This deficiency may hinder the effective implementation of medical audits.

Area of Science:

  • Medical Education
  • Healthcare Quality Improvement

Background:

  • Audit is a core component of general practice training.
  • Registrars depend on trainers for instruction in basic audit methods.
  • The study assessed trainers' ability to teach audit by evaluating their performance on registrar projects.

Purpose of the Study:

  • To evaluate general practice trainers' understanding of fundamental audit principles.
  • To determine if trainers could accurately identify key audit criteria using a self-developed marking schedule.

Main Methods:

  • 114 general practice trainers marked five registrar audit projects.
  • A marking schedule with five independent criteria was used.
  • Each project contained one criterion below agreed minimum competence levels.

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Main Results:

  • Only 3% of trainers correctly identified all deficient audit criteria.
  • A correlation was found between correctly identifying deficient criteria and incorrectly flagging adequate ones.
  • A significant number of trainers failed to recognize basic audit methodology.

Conclusions:

  • General practice trainers demonstrate a significant deficit in recognizing basic audit methodology.
  • This lack of competence has implications for teaching audit skills to registrars.
  • The findings suggest a potential reason for difficulties in implementing audit practices in general practice.