Edwards Jill, Petra Hannah
Oxford Deanery GP, Chipping Norton, Oxfordshire, UK.
Educ Prim Care. 2013 Feb;24(2):105-10. doi: 10.1080/14739879.2013.11493464.
In 2007 all medical specialty training curricula in the uK changed to become competence based, and Annual Review of Competence Progression (ARCP) panels became the mechanism for progression through training. The RCGP also developed an internet-based electronic portfolio to record trainees' learning and development. The operational instructions for the new specialty training curricula included the requirement for quality management of the decisions made by the ARCP panels.
The Royal College of General Practitioners (RCGP) developed criteria to measure the quality of the decisions made by Deanery ARCP panels and the educational and clinical supervisors' reports that informed them. A team of external advisors (EAs) was appointed and trained to undertake this external scrutiny work.
For the past four years there has been a consistency in agreement between the decisions made by the Deanery ARCP teams and the EAs. The quality of both the educational and clinical supervisor reports has improved over the same time period.
An internet-based electronic portfolio is an essential component of competency-based curricula using programmes of assessment. Quality management is an effective strategy to ensure the dependability of high-stakes decisions. Feedback from the RCGP quality management process has provided a stimulus to promote change within deaneries.
2007年，英国所有医学专业培训课程都转变为基于能力的课程，能力进展年度评审（ARCP）小组成为培训进程的推进机制。皇家全科医师学院（RCGP）还开发了一个基于互联网的电子档案袋，用于记录学员的学习与发展情况。新专业培训课程的操作指南包括对ARCP小组所做决策进行质量管理的要求。
皇家全科医师学院制定了标准，以衡量地区ARCP小组所做决策以及为其提供信息的教育和临床督导报告的质量。任命并培训了一组外部顾问（EA）来开展这项外部审查工作。
在过去四年里，地区ARCP小组和外部顾问所做决策之间的一致性保持稳定。在同一时期，教育和临床督导报告的质量都有所提高。
基于互联网的电子档案袋是使用评估方案的基于能力课程的重要组成部分。质量管理是确保高风险决策可靠性的有效策略。RCGP质量管理过程的反馈推动了各地区的变革。
