quality assurance of postgraduate medical training sian lewis associate dean wales deanery
TRANSCRIPT
Quality Assurance of Postgraduate Medical Training
Sian LewisAssociate Dean Wales Deanery
Taken from Report of the JACSTAG advisory group on local quality management of postgraduate medical training - January 2007
Terminology & Roles
Colleges/F
aculties/Specialist
Societies
Local
Regional
National
Hospital TrustsGP Practices
DeaneriesSpecialty Training
Committees/Schools
PMETB
QCEnvironment
of learning
QMCommissioner/Organiser of
training
QAStandards
Setting
Fit for purpose!
Developing a Deanery QMS
QA Unit QA Task & Finish Group Review of Existing Processes
Annual Trust Commissioning Visits GP Trainer Approval and Three Yearly
Monitoring Visits Specialty Monitoring (previously Royal
College Visits) Deanery Triggered Visits
Review Objectives
Robust QMS Supportive QMS Reduced Burden Wales Concordat
(www.walesconcordat.org.uk)
To deliver QA we need 3 elements to our QMS
Tools for collecting evidence both on a “routine” basis and in “triggered” circumstances
Systems for handling the evidence and ensuring recommendations are met and be able to demonstrate this has been done
Clear criteria for making judgments and guidelines for deadlines and defining penalties, an appeal process (internal consistency)
Achieving a QMS Identify existing tools and use them to their
maximum benefit. Build new internal QC processes only where
essential Put processes into a coherent framework-
QMS QMS built into structures - routine function QMS must be robust and independent of
“enthusiasts” Ensure QMS meet external standards
PMETB/GMC Generic Framework (of 9 Domains) Domain 1 - Patient Safety Domain 2 - Quality Assurance Domain 3 - Equality, Diversity and Opportunity Domain 4 - Recruitment, Selection and
Appointment Domain 5 - Delivery of the curriculum including
assessment Domain 6 - Support and development of
trainees, trainers and local faculty Domain 7 - Management of Education and
Training Domain 8 - Educational resources and capacity Domain 9 - Outcomes
PMETB Domain 8 Standard: Educational facilities, infra-
structure and leadership must be adequate to deliver curriculum
Mandatory: There must be access to educational facilities (including library) and resources (including internet access in all workplaces) of a standard to enable trainees to achieve outcomes of programmes as specified in the curriculum
Library Report
Ministerial Returns
PMETB Trainee Survey
FPD QC Report
EPEF Balanced Scorecard
Trust Questionnaire
Specialty Panel Report
DEANERY QC TEAM REVIEWS DATA AND PRODUCES REPORT
Trust
Action Planning meeting Deanery & Trust
QA Committee
QC Team Monitor Deadlines
QC Team Informs Trust & Reports back to QA Committee on Progress and Completion of Action Points
Trust SLA Monitoring Pilot
Head of School
STC Core Training
QA Committee
Trainee Feedback
Trainer Feedback
Recruitment
Trust action plans
Triggered visits
Trainee Feedback
Trainer Feedback
Royal Colleges
Draft Specialty QA framework
Assessments Assessments
PMETB survey, RITAS, EPEFs
PMETB survey, PD report
RITA trends, exams, WPAs
How does Wales produce Specialists and GPs of which we can be proud?