Family Practice Program - Kuwait Institute for Medical Specialization

Appendix 5
Family Medicine Specialty Training Programme
CLINICAL AUDIT COMPONENT OF DIPLOMA IN FAMILY PRACTICE
( RCGP/ KUWAIT ) MRCGP(INT)
Marking Schedule
Screening test :
Has the audit cycle been completed
YES/ NO
If No reject audit: if Yes, proceed with evaluation.
Please tick the box to indicate the extent which the criterion is satisfied.
* Assessor’s Name -------------------------------------------------
* Assessor’s Signature -------------------------------------------------
* Date of Assessment -------------------------------------------------
Criterion
1. Reason for choice of audit Potential for change
Relevant to the practice
2. Criterion/ Criteria chosen Relevant to audit subject and
Justifiable, e.g. Current literature
3. Standards set Targets towards a standard with a
Suitable timescale
4. Preparation and Planning Evidence of teamwork and adequate
Discussion where appropriate
5. Data collection (1) Results compared against standard
6. Change(s) to be evaluated actual example described
7. Data collection (2) Comparison with Data collection (1)
and standard
8. Conclusions Summary of main issues learned
A satisfactory audit project report should include all 8 criteria to pass
Pass
Refer
If refer, please comment on your reasons overleaf.
Reason for referral:-
Explicit advice for improvement:-
30