NOE – Audit & Projects


This folder is provided as a resource for both trainees and trainers to give you some idea of some of the types of things that MAY be submitted in addition to the other MRCGP assessments. None of these are mandatory although at the very minimum, audit should be taught during your training period anyway (if not, nag your trainer to do so – they won’t mind, really).  Provided are some sample projects demonstrating some of the different types of projects you might undertake during your training programme. Click on the their titles to see the full document.

WHEN AND WHY SHOULD I BE DOING AUDIT OR PROJECT?

During the 1st GP attachment either an audit or a reflection on a QOF area should be completed. Normally this should be done in the first GP attachment and be available for the ARCP panel within four months of completion of the first GP post. There is no requirement from the ARCP for a further audit during ST2 and ST3.  The purpose  is to engage the trainee in change management in the practice in order to improve the quality of patient care.   It also helps to build some evidence for some of the professional competencies that you will be ultimately assessed on by the end of your training period.  So, you might as well start now.

HAVING YOU ANY GUIDANCE ON THE APPROACH?

The marking criteria should be borne in mind when planning and writing up this piece of work. There are marking schedules for the different types of project provided for you below.  The Audit should demonstrate a complete 8 point cycle. The trainee may need to take one day study leave from a hospital post to return to the practice to do a second data collection –especially if the first post is 4 months.  As for QOF reflection: choose one quality indicator – e.g a new QOF indicator or one where performance is sub-optimal. Examine and clarify the issues with reference to literature including suggestions to improve performance.

HERE’S A QUICK CHECKLIST FOR YOU

  • A statement of the aims of the project: the background and reason for doing the project should be stated.
  • Reference to the literature relevant to the project: the references used should be listed in a consistent style at the end of the project. Normally there would be 6 or more relevant references. They should be referred to clearly in the text.
  • A clear description of the method used to collect evidence: the reader should have enough information to be able to repeat what was done. For audit projects, the criteria and standards should be stated.
  • Presentation of the evidence: this should be clearly related to the aims of the project, and the method. Consider different ways of presenting numerical data.
  • Discussion of the evidence presented: this should consider how well the chosen method addressed the aims of the project, the relevance of the findings to practice, and consideration of change in practice as a result of the findings. Evaluate your work.
  • A conclusion to sum up the points raised in the discussion: make some practical suggestions to improve a situation. Make constant reference to the marking schedule throughout the planning and writing stages and aim for high marks for each criterion.

WHEN ENGAGING IN ANY OF THE PROJECTS LISTED BELOW, YOU MUST CHOOSE SOMETHING THAT IS RELEVANT TO GENERAL PRACTICE.

Please click on a project type for more specific guidance and a submitted example