What are the QI General Practice Specialty Training (GPST) Work Place Based Assessment requirements?
As part of the Royal College for General Practitioners (RCGP) Work Place Based Assessment, trainees who have started GP training from August 2020 onwards are required to undertake a small QI project.
How should Educational Supervisors assess projects?
Trainees should complete their QI projects during their 6-month GPST1 or GPST2 placement. Once completed, Educational supervisor should assess projects using the RCGP feedback and assessment form which can be found here. An elearning module has been developed to describe and give examples of assessment. (module in testing and will be available soon)
What is the Model for Improvement?
This is a specific QI method that first asks three questions:
Small change are then tested using Plan, Do, Study, Act (PDSA) cycles. These are then adapted, tested with others to implement more widely or abandoned.
Why can’t they just do an audit?
When performed properly, 8-point criterion based audit remains a very valid improvement method. The main difference with the Model for Improvement is that in the latter small changes are tested and adapted iteratively. Many of us may have implemented change in this way while undertaking audit, but the Model for Improvement makes it explicit that changes should be tested on small numbers to make sure they are effective and can then be adapted, abandoned or spread as needed. This means that smaller numbers of data needs to be collected for each change than in a traditional audit.
Various ‘QI tools’ are often used with the Model for Improvement. These can help to gain agreement for improvement topics and to identify changes that can be made. It is hoped that if trainees have the knowledge, skills and confidence to use of the Model for Improvement and the QI tools, they will be able to start developing and demonstrating leadership and team working skills that will be required throughout their career.
How should GPSTs pick their improvement project?
Trainees should pick something that is of interest to them and that is important to the local delivery of care. It is likely that they will need guidance from the ES and practice. We recommend considering:
What support is available to GPSTs?
The NES GP safety and improvement team have developed a GPST QI training course that aims to increase their QI skills, knowledge and confidence. The course will consist of three 90-minute online interactive tutorials. Trainees will be assigned to a cohort of around 30 trainees from across Scotland and remain in their cohort during the three tutorials. Each tutorial will cover a different aspect of QI which will support trainees as they work through their project. These tutorials can be completed during educational sessions.
Further details are available on the GPST QI training main webpage.
Further resources to support Educational Supervisors
The following resources will help Educational Supervisors with these changes:
Are there examples of GPST QI projects?
We plan to develop a repository of trainee QI projects that demonstrate application of QI knowledge and skills. Some ideas for QI projects are included here.