Piterman L, Nelson M
Department of Community Medicine and General Practice, Monash University, Melbourne, Victoria.
Aust Fam Physician. 1997 Jul;26 Suppl 2:S91-5.
The Quality Assurance (QA) Program of the Royal Australian College Of General Practitioners has required doctors to engage in practice assessment (PA) activities. Clinical audit is one of these activities and has been used as an assessment tool in the Graduate Diploma in Family Medicine at Monash University, in impact evaluation of educational programs as well as a means of pooling morbidity data for research purposes and peer review. Examples of these uses of clinical audit are cited, with discussion in greater detail in relation to a dermatology course, cardiovascular risk factor detection and ongoing management of congestive cardiac failure. Doctors participating in these audit activities have almost invariably described them as a valuable reflective educational exercise with changes in clinical practice occurring after the audit in a number of instances.
澳大利亚皇家全科医生学院的质量保证（QA）计划要求医生参与实践评估（PA）活动。临床审计是其中一项活动，已被用作莫纳什大学家庭医学研究生文凭课程的评估工具、教育项目的影响评估手段，以及收集发病率数据用于研究目的和同行评审的方式。文中列举了临床审计这些用途的实例，并针对皮肤病学课程、心血管危险因素检测和充血性心力衰竭的持续管理进行了更详细的讨论。参与这些审计活动的医生几乎无一例外地将其描述为一次有价值的反思性教育活动，在许多情况下，审计后临床实践都发生了变化。
