[Guidelines on 2008 Supplementary Exit Examination of Vocational Training in Family Medicine]
[Clinical Audit Report] [Practice Assessment] [Consultation Skills Assessment] |
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| CLINICAL AUDIT REPORT |
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| Each candidate is required to submit THREE COPIES of the clinical audit report done on his/her own practice on or before September 1, 2008 together with the certification by clinical supervisors (appendix A). The clinical audit report must be the original work of the candidate, and has never been submitted to or published by any journal. The candidate must be the principal investigator of the audit project. The same project cannot be submitted by any other candidates. |
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| The clinical audit project should be carried out systematically. The candidate has a free choice of topics for the audit. There are three main components of care, one or more of which can be audited |
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| 1. |
Structure: |
The resources and personnel available e.g. the composition of staff, the use of special equipment, use of physical space, etc. |
| 2. |
Process: |
What happens in your practice, e.g. the process of delivery of care like investigations, referral patterns, quality of records, the consultation process, physical examination, psychosocial orientation, management plan. |
| 3. |
Outcome: |
The results of care, e.g. effectiveness of resources utilized, disease control, reducing home accidents, financial savings, etc. |
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| The audit should include some aspects of process and/or outcome of care. Results of Phases I and II of the audit cycles should be combined in a single table. |
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| ASSESSMENT CRITERIA |
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| The audit report will be marked independently by at least two examiners appointed by the Specialty Board according to the following areas as shown in the clinical audit report evaluation form (appendix B):- |
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| 1. |
Completion of the audit cycle is ESSENTIAL, |
| 2. |
The audit topic and question, their relevance and importance to the candidate's practice and family medicine, critical review of background literature and objectives of the audit, |
| 3a. |
Setting explicit criteria and standards supported by evidence, |
| 3b. |
Data collection and analysis: sampling method, outcome measures, data collection, analysis of results and use of appropriate statistical tests, |
| 4. |
Discussion on the results and changes made, and impact of the audit on patient care, |
| 5. |
Overall presentation and adequacy of reference list. |
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| A score of 65% or above is the standard for a pass. |
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| SUGGESTED READING |
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1. |
Fraser RC, Lakhani M, Baker R (Eds). Evidence-Based Audit in General Practice: from Principles to Practice. Butterworth-Heinemann, 1998. |
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2. |
Audit Protocols from Clinical Governance Research and Development Unit, Department of Health Sciences, University of Leicester. |
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