Access Keys:
Skip to content (Access Key - 0)

Self-audit and practice appraisal for surgeons

Birch DW, Goldsmith CH, Tandan V; Evidence-Based Surgery Working Group. Users' guide to the surgical literature. Self-audit and practice appraisal for surgeons. Can J Surg 2005;48(1):57-62.

Abstract

In January 2001, the Royal College of Physicians and Surgeons of Canada (RCPSC) established the first 5-year cycle of the Maintenance of Certification program (MainCert). MainCert certification is now required for admission to the RCPSC and to renew Fellowship privileges. For practising surgeons, involvement in MainCert implies that continuing professional development (CPD) activities must be completed and documented by all surgeons wishing to maintain active Fellowship status. As indicated in Table 1, initial surgeon participation has been encouraging.

A framework for CPD activities has been established. These activities have been divided into 6 sections with different characteristics and achievable “credits.” Of all these activities, the traditional format of continuing medical education (CME) that is offered through meetings and symposia (section 1) is the most convenient and common CPD activity for practising surgeons. Recent data from RCPSC confirm this and illustrate how participation is distributed by section.

Nevertheless, concern has been raised over the effectiveness of CME interventions and their capacity to improve clinical practice. A systematic review of the evidence evaluating CME interventions has identified 3 factors that are most effective in producing a change in physician behaviour: a physician-based needs assessment (recognition of the need to change physician behaviour); interactive learning among physician colleagues (discussion and review with peers); and sequenced or multifaceted learning activities (use of more than 1 CME activity to achieve change). CME interventions incorporating these activities will be more successful in improving physician performance. The expense and inconvenience of CME interventions may also limit their effectiveness.

Section 5 of the framework comprises “practice review and appraisal” activities. This includes the activity of practice audits or self-audit. Self-audit has been described as the most educationally sound and possibly the most effective method for CPD. Currently, only general guidelines exist for surgeons wanting to complete a self-audit. This article will review and discuss an approach to self-audit for the surgeon in practice.

View on PubMed

Download PDF

Peer Review

OrthopaedicsOne Peer Review Workflow is an innovative platform that allows the process of peer review to occur right within an OrthopaedicsOne article in an open, transparent and flexible manner. Learn more

Instructions for Authors

Read our Instructions for Authors to learn about contributing or editing articles on OrthopaedicsOne.

Content Partner

Learn about becoming an OrthopaedicsOne Content Partner.

Academic Resources

Resources on Self-audit and practice appraisal for surgeons from Pubget.

The license could not be verified: License Certificate has expired!
Orthopaedic Web Links

Internet resources validated by OrthopaedicWebLinks.com

The license could not be verified: License Certificate has expired!
Related Content

Resources on Self-audit and practice appraisal for surgeons and related topics in OrthopaedicsOne spaces.

Page: How to use an article about a diagnostic test (OrthopaedicsOne Articles)
Page: How to use an article evaluating surgical interventions (OrthopaedicsOne Articles)
Page: How to use an article on economic analysis (OrthopaedicsOne Articles)
Page: How to use an article reporting population-based volume-outcome relationships in surgery (OrthopaedicsOne Articles)
Page: How to perform a literature search (OrthopaedicsOne Articles)
Page: How to use a systematic literature review and meta-analysis (OrthopaedicsOne Articles)
Page: How to assess a randomized controlled trial in surgery (OrthopaedicsOne Articles)
Page: Self-audit and practice appraisal for surgeons (OrthopaedicsOne Articles)
Page: How to use a decision analysis (OrthopaedicsOne Articles)
Page: How to assess an article on health-related quality of life (OrthopaedicsOne Articles)
Showing first 10 of 25 results