Consultant physicians working with patients - Royal College of ...

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3 Supporting the delivery of high-quality care3 The Royal College of Physicians:supporting the delivery of high-quality careThe Royal College of Physicians (RCP) supportsfellows and members and the organisations and teamsin which they work to improve the quality of clinicalcare that they deliver to patients. This is achieved ina number of ways: medical training and examinations;education and training programmes; developingclinical guidelines; conducting national comparativeaudits; facilitating data and informatics improvements;undertaking invited service reviews; undertaking qualityimprovement projects; and supporting the membershippreparing for appraisal and revalidation. The RCPalso supports the appointment process for consultantphysicians, to ensure that the training and experienceare adequate to allow the doctor to practise unsupervised.Support is given to physicians who work overseas,through the International Office, and we sharethe quality improvement methodology and educationalexcellence with colleagues in other countries.The RCP is also a resource for other organisations, bothwithin and outside the NHS, providing experience andexpertise in improving the quality of care.The RCP’s A strategy for quality sets out the domains ofquality: safety, patient experience, effectiveness, equity,efficiency, timeliness and sustainability. 1Setting standards, measuring standards andcontinuously improving, in ongoing repeated cycles arethebasisoftheapproach–representedpictoriallyby the quality spiral (see www.rcplondon.ac.uk andsee Fig 2).Information about all the RCP departments and theinfrastructure to support the work of the RCP is foundon the website (www.rcplondon.ac.uk).RCP activity has been designed to encourage andsupport physicians to evaluate and improve theirclinical practice and improve patient care. Physiciansare able to draw on resources from the RCP at all stagesof the ‘quality spiral’.Specific details of each of the programmes the RCP hasdeveloped in support of quality improvement areoutlined below.Patient Involvement UnitThe Patient Involvement Unit encourages and promotespatient, carer and public involvement in RCP activities.It does this through the Patient and Carer InvolvementSteering Group and the Patient and Carer Network,ensuring that the patient perspective is included in allRCP policies and decisions.Shared Decision Making/supportedself-management by patientsAs more patients have long-term conditions, and oftenmore than one, they need to be supported to undertakebetter self-management of their conditions. Also,decisions about their care need to be made inpartnership with the health professional. The RCP istaking forward this agenda, and has appointed a clinicalfellow in Shared Decision Making to work withmembers and fellows and the specialist societies.Education and trainingEducation is a core function of the RCP and it delivers awide range of programmes for physicians of all grades.The programmes are continually developed anddesigned to keep physicians up to date on all aspects ofmedical education.The Education Department leads in the development ofeducational policy and initiatives and in the provisionof services and resources to support the professionaldevelopment of physicians.These include the organisation and delivery ofeducational programmes, the production of multimediamaterial, accreditation of continuing professionaldevelopment (CPD) events, the provision of access to,C○ Royal College of Physicians 2013 263
Consultant physicians working with patientsand training in, the use of educational resources, andthe provision of expertise through consultancynationally and internationally.The Department provides consultancy and projectsupport to the Joint Royal Colleges of PhysiciansTraining Board (JRCPTB) and to other colleges andfaculties in relation to the development of curricula,assessment strategies and workplace-based assessmentmethods.Educational programmesThe Education Department delivers a full range ofprogrammes for doctors of all grades and specialties.Our Doctors as Educators Programme offers 1- and2-day workshops, which include topics such as teachingskills, medical leadership, appraisal, assessment andeducational supervision skills. We offer two RCPaccreditations: the RCP Educator accreditation and theRCP Educational Supervisors accreditation. We alsooffer two university-accredited postgraduateprogrammes – a Masters in Medical Education and aMasters in Medical Leadership. In addition to theseprogrammes the Education Department offers bespokein-house training, as well as programmes specifically fornew consultants and junior doctors.Continuing professional developmentContinuing professional development is the preferredterm in the UK for continuing educationand professional development after the completionof training. CPD encompasses both continuingmedical education (CME) and the wider range ofprofessional activities that are required for a doctorto practise medicine. CPD may therefore bedefined as:a continuing learning process, outside formalundergraduate and postgraduate training, whichenables doctors to maintain and improve theirperformance across all areas of their practice throughthe development of knowledge, skills, attitudes andbehaviours.The Federation of the Royal Colleges of Physicians ofthe UK provides an online CPD scheme for physicians.Live and distance-learning activities are approved for‘external’ CPD if they meet educational quality criteria.Approved activities are placed on a database accessibleto scheme members. Activities are recorded in anindividual’s electronic CPD diary and may be matchedagainst specific learning objectives. Credits aregained for an activity once a structured reflection iscompleted.Jerwood Medical Education Resource CentreThe Jerwood Medical Education Resource Centre,which forms part of the RCP’s library services, wasopened in 2002 and holds a specialist collection of over6,000 items including books, journals and CD-ROMs.The collection supplements the educational coursescoordinated by the RCP and provides physicians withaccess to comprehensive resources and materials tosupport their CPD and teaching responsibilities. Fellowsand subscribing members are entitled to borrowmaterials from the collection and can also apply foraccess to an extensive selection of online databases andelectronic journals. Additional services include adetailed information and literature search service,database training and subject guidance.Curriculum and assessment developmentEducationalists from the Education Departmentregularly work with JRCPTB and the specialty advisorycommittees to provide expert advice on and practicalsupport for the development of curricula andassessment systems. The Department providesconsultancy services on curriculum development andassessment to other colleges and faculties bothnationally and internationally. The EducationDepartment has led the development, piloting andvalidation of workplace-based assessment methods fortrainees and is currently piloting a new method ofassessing leadership competencies for trainees. TheDepartment is also project managing the developmentand implementation of a knowledge-based assessmentsystem for small specialties.RCP educational consultancyThe RCP educational consultancy works with medicalorganisations – both in the UK and internationally – tofacilitate the most effective solutions to a range ofchallenging educational and training issues which themodern medical profession faces and then works withorganisations to implement those solutions successfully.The consultancy has worked in several differentcountries including the USA, Singapore, Sri Lanka,Uganda and Oman, and has supported a number ofdifferent organisations, from deaneries and teachinghospitals to specialty boards and universities. Theconsultancy offers a range of different services,264 C○ Royal College of Physicians 2013
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AcknowledgementsWe would like to th
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AbbreviationsA&EAACsAMUsARCPCCGsCCS
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