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?