Title Innovative lifelong learning of European General Physicians in Quality Improvement supported by information technology
Project Number 2010-1-PL1-LEO05-11473
Product R3_Report with description of educational needs and required competencies of GPs' in the field of QI
Title R3_Report with description of educational needs and required competencies of GPs' in the field of QI
Product Type others
The main aim of our report was to develop a comprehensive list of QI competencies within a framework for continuing professional development for European GPs/FDs.
Modern medicine recognises that the outcomes of clinical care not only depend on how doctors put their clinical knowledge and training into practice, but also on other skills such as being able to deal with the continuous flow of new information, emerging medical evidence and effective management of available resources. There is also growing evidence that good quality of care is, to a large extent, determined by the organisation or system in which this care is delivered. This means that family doctors of today need to be able to reflect on the system in which they deliver care and to manage the quality of that care.
The study was carried out in three phases building on one another:
1. literature review,
2. consensus development panel and
3. Delphi technique.
The Quality Improvement for General Practitioners competencies framework was initially developed from an extensive worldwide literature review focusing on literature in English from 2000 to 2011 and addressing quality improvement competencies for general practitioners in continuous
education programs. Two rounds of Consensus Development Panels were undertaken to evaluate and make changes to the initial draft competency framework. Two rounds of Delphi surveys were carried out in an effort to
finalise the framework. Our goal was for 90-100% consensus. Both surveys were presented through SurveyMonkey, an online survey service, and sent by email to European Association for Quality in General Practice (EQuiP) members.
Teachers / Trainers of Family Medicine / General Practice,
Educational experts in the field of primary care,
Practicing General Practitioners / Family Physicians
Trainees in the field of Family Medicine / General Practice
A Quality Improvement Competencies Framework was developed. It consists of a list of 37 competencies organised into the following domains: Patient Care & Safety, Effectiveness & Efficiency, Equity & Ethical Practice, Methods & Tools, Leadership & Management, and Continuing Professional Education.
Six thematic groups of competencies emerged covering various aspects of general practitioners’/family doctors’ work including clinical, organisational and ethical issues and patient safety. The framework can serve as a useful tool in identifying gaps in knowledge and shaping adequate CPD curricula for GPs/FDs is Europe.
Area of application
It was the first step in development of the web-based tool (a SAQ tool) for measuring the
required GPs' professional competencies and their educational needs in the field of QI.
This study may provide some important insights for GPs/FDs, teachers and researchers. Moreover, it may have an indirect influence on patients’ care:
- it is a source of initiation and development of European discussion on harmonization and standardization of family physicians education on different levels of life-long learning process
- it is a source of initiation and development cooperation of different European countries and institutions involved in GP/FM education
- it may be a basis for development of international network for knowledge and experience exchange in the field of life-long learning process of family physicians
- it may serve also as a self-assessment tool to help individual GPs/FPs identify training needs
- it is also necessary for general practitioners to have clear and focused guidelines for choosing their educational goals.
- it may also direct the application of quality improvement activities in the practices
- teachers and trainers who develop and provide continued professional development (CPD) can use the framework to identify important QI competencies
- it can therefore be the first step in developing new CPD curricula for family doctors
- A framework of competencies provides an organising structure to guide the development and evaluation of educational programs
- this study offers no evidence that acquiring new competences in QI by GPs/FDs will automatically improve patient’s health outcomes.
- patients may also benefit from the development of a focused framework.
- by actively incorporating quality improvement into their practices, family doctors can improve the systems in which care is delivered.
Product Languages English