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Quality of education and patient care
Dr Mark Rickenbach FRCP FRCGP PhD FHEA
GP Trainer and Appraiser
Associate Dean Wessex Deanery
Research Fellow University Winchester
Wessex Deanery Winchester University
www.docrick.co.uk
Factors that improve quality:
Medical education
Secondary care
Primary Care
Management
Patients
Are there generic principles?
Aims
Wessex Deanery Winchester University
www.docrick.co.uk
Competing pressures, shift work disrupts contact
Relationship to Trainer GMC survey - linked to satisfaction and error
Back stage continuity - Records
Organisation - Departmental Educational lead
Educational quality
Wessex Deanery Winchester University
www.docrick.co.uk
Supporting educational quality
Professional educator
Feedback local and regional - Action Research
National focus
Wessex Deanery Winchester University
www.docrick.co.uk
“Superb care, crap delivery” ?Cutting back - handle and return
Co-ordinate Pathways of careProactive
Communication TeamElectronic records
Professionalism Review own practice Empower change
Secondary care
Wessex Deanery Winchester University
www.docrick.co.uk
Taking on more with less resource
Proactivity
Continuity – front and backstage (records)
Primary care
Roles clear within the team
Professional - Review own practice Knowledge Experience
Wessex Deanery Winchester University
www.docrick.co.uk
www.docrick.co.uk
My pyjama, me muvver
Three times beware
Sticky carpet iron sign
Knowledge and Experience
LLAMA – Local Linked Addresses Management and Advice
Wessex Deanery Winchester University
www.docrick.co.uk
Factors in Management
Frontstage and backstage continuityKnowledge and experience
Relationships - Two way process
Continuity
Records
FeedbackGiving Feedback Thoughtfully is a GIFT
Wessex Deanery Winchester University
www.docrick.co.uk
Patient perspective
Demand, immediate gratification versus quality
Patience
Relationships build
Continuity enable
Feedback Thanks
Wessex Deanery Winchester University
www.docrick.co.uk
A team that reviews it own roles?
With professionals who review their own practice?
Identify and resolve issues as they arise
What is excellence? A
Wessex Deanery Winchester University
www.docrick.co.uk
Backstage Continuity – complete records?
Frontstage continuity– proportion seeing the same doctor the same issue?
Generic Principles?
Shift the focus for healthcare?
Professional – know the Issues, Actions, Review
Pathways – co-ordinating lead, clear roles and process?Proactive – addressed all issues?
Feedback tools - local and regional?Knowledge and experience resources?
Questions?