SLO 11 – Participate in and promote activity to improve the quality and safety of patient care

Domain 1: Professional values and behaviours

Domain 2: Professional skills

  • practical skills
  • communication and interpersonal skills
  • dealing with complexity and uncertainty
  • clinical skills (history taking, diagnosis and medical management; consent; humane interventions; prescribing medicines safely; using medical devices safely; infection control and communicable disease)

Domain 3: Professional knowledge 

  • professional requirements
  • national legislative requirements
  • the health service and healthcare systems in the four countries

Domain 4: Capabilities in health promotion and illness prevention

Domain 5: Capabilities in leadership and teamworking

Domain 6: Capabilities in patient safety and quality improvement

  • patient safety
  • quality improvement

Key ACCS capabilities

At completion of ACCS a trainee will:

  • be able to contribute effectively to a departmental quality improvement project

Key EM capabilities

At completion of Intermediate training a trainee will:

  • be able to describe their involvement and show an understanding of QI methods and reflect on a Quality Improvement Project they have been involved in

At completion of Higher training a trainee will:

  • be able to provide clinical leadership on effective Quality Improvement work
  • be able to support and develop a culture of departmental safety and good clinical governance

Intermediate & Higher Descriptors 

  • Makes patient safety a priority in clinical practice
  • Raises and escalates concerns where there is an issue with patient safety or quality of care
  • Demonstrates commitment to learning from patient safety investigations and complaints
  • Shares good practice appropriately
  • Contributes to and delivers quality improvement
  • Understands basic Human Factors principles and practice at individual, team, organisational and system levels
  • Understands the importance of non-technical skills and crisis resource management
  • Recognises and works within limit of personal competence
  • Avoids organising unnecessary investigations or prescribing poorly evidenced treatments

RCEM QI guidance material
AOMRC QI syllabus
AOMRC patient safety syllabus

Being developed by ACCS intercollegiate curriculum group

Evidence to inform decisions:

  • MCR
  • MSF
  • QIAT
  • Educational Supervisor’s Report (ESR)

Feedback on trainee contribution to a QI project.

Evidence to inform decisions:

  • MCR
  • MSF
  • Educational Supervisor’s STR

Feedback on progress towards completion of QIP submission

Evidence to inform decisions:

  • MCR
  • MSF
  • Educational Supervisor’s STR

Educational review

Summative assessment each year is a judgement by the Educational Supervisor, with overview from the ARCP panel. There is requirement for progression year on year towards the elements described. It is possible to progress through these more rapidly if trainees have a particular interest or opportunities in this SLO.

End of core training:

This content is being developed by the ACCS intercollegiate curriculum group

End of intermediate training

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