Quality assurance through reflective change (QuARC): involving family medicine community-based preceptors in a continuous quality improvement programme

$20.00 plus tax (Refund Policy)

Buy Article:


Introduction Quality assurance through medical chart audit is often not done in family practices because the workload involved is large, time commitment long and feedback delayed. A faculty development project was undertaken to encourage practice audits by community-based family medicine preceptors addressing these barriers.

Objective To stimulate involvement in and enthusiasm for practice audit through a shared learning experience.

Programme Four 15-minute sessions in an academic year served as the platform for group interaction. The faculty development co-ordinator and a group member with expertise in research, serving as facilitator and mentor, formulated the project. The faculty decided on the topic and collected four data items on a convenience sample of patients over a 38-week period. Data were collated and feedback was sent weekly. Participation among preceptors was 61% (16/26); data on 739 patients were collected through weekly convenience sampling and data on 1004 patients were collected from full, electronic medical records (EMR)-aided, audits. Group response was enthusiastic with reflection on the process, quality of charting and rates of mammography.

Conclusion An enthusiastic mentor and a collaborating group of physicians can perform a practice audit using simple methodology on a convenience sample of patients.


Document Type: Research Article

Publication date: September 1, 2006

More about this publication?
Related content



Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more