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A comparison of three different quality assurance systems for higher medical training

Chris Turnbull, Paul Baker and Steve Allen
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DOI: https://doi.org/10.7861/clinmedicine.7-5-486
Clin Med October 2007
Chris Turnbull
Arrowe Park Hospital, Merseyside
Roles: Consultant Geriatrician
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Paul Baker
Royal Bolton Hospital
Roles: Consultant Geriatrician and Professor of Medical Education
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Steve Allen
The Royal Bournemouth Hospital
Roles: Consultant Physician and Professor of Clinical Gerontology
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Abstract

Quality assurance (QA) of medical training is a growing concern. There have been few studies comparing different methods. A window of opportunity occurred when a Royal College of Physicians (RCP) visit was followed soon after by a pilot of a web-based questionnaire in a deanery which already had a well-developed QA system in geriatric medicine. The different methods of RCP visit, deanery visit and web-based survey were compared. Surveys are easily administered and repeated but may be hindered by poor response rates and lack of corroborating information. Negative aspects can be exaggerated and positive ones overlooked. Trainers' views tend to be underused. Visits consume more time and resources but give a better overview. Each method format was found to have advantages and disadvantages and no one method alone would have picked up all the information. This paper recommends a robust deanery mechanism as a continuous QA mechanism backed up by periodic focused external visits.

Key Words
  • general medicine
  • geriatric medicine
  • monitoring visits
  • postgraduate medical training
  • quality assurance
  • trainee surveys
  • triangulation
  • © 2007 Royal College of Physicians
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A comparison of three different quality assurance systems for higher medical training
Chris Turnbull, Paul Baker, Steve Allen
Clinical Medicine Oct 2007, 7 (5) 486-491; DOI: 10.7861/clinmedicine.7-5-486

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A comparison of three different quality assurance systems for higher medical training
Chris Turnbull, Paul Baker, Steve Allen
Clinical Medicine Oct 2007, 7 (5) 486-491; DOI: 10.7861/clinmedicine.7-5-486
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