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Prescribing Assessment

CBD COT

All trainees who start ST3 in August 2019 will need to complete a prescribing assessment by 31 January 2020

It replaces 2 Case Based Discussions in the ST3 year, so 10 are required not 12!

 

  1. The trainee searches on their last 60 retrospective prescriptions
  2. Using the prescribing manual, the trainee reviews these prescriptions and maps them against potential prescribing errors
  3. The GP trainer / Supervisor reviews 20 of these prescriptions, maps these against potential errors and adds these to the spreadsheet 
  4. The trainee completes the trainee reflection form in the ePortfolio and in particular reflects on their prescribing using the GP prescribing proficiencies
  5. The trainee and GP trainer / Supervisor complete the assessment using the GP trainer/ Supervisor assessment form found in the ePortfolio
  6. Both the trainee and GP trainer / Supervisor complete and submit the questionnaires
  7. The trainee uploads the anonymised spreadsheet to their learning log

How to do it - a guide for GPSTs (click) 

Examples of types pf prescribing underperformance (click)

Trainee self reflection form (click)

Assessment form for Trainers (click)

 

Quality Improvement Project (QIP) - from August 2020

As a trainee you are in good position to identify areas of practice that frustrate you and that possibly have an impact on patient safety. During your primary care posts in ST1 /2 you are required to complete a quality improvement project with the aim of improving patient care. Audit is a type of QIP as both look at the quality of care provided with the aim of improving it and both require measurements to demonstrate change. More generally, QIPs can be about making small incremental changes and measurements which may be done weekly to test the impact of the changes. In contrast an audit has set criteria, each with their own defined standards, and has two sets of measurements over a longer time period, to demonstrate a baseline and then improvement. Completing a QIP allows change to be tested both quickly and successfully and is easier to do in a short time frame, for example in a 4 - 6 month trainee post. The QIP should be written up in the relevant section on the Portfolio and your supervisor will both assess and discuss this with you. 

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