Appraisals - are we doing them right?
I don’t think we do “appraisal” well at all as GPs. By appraisal I mean scrutinise the quality of care given and whether we are following our organisation guidance /directives which might include things like recording data in a certain way - prescribing from a formulary - offering money making services etc.
It’s funny because we do with GP registrars - we watch almost every consultation they do and have at least one “senior” opinion provide feedback on it. yet once you have qualified does anything like that ever happen? (time is an issue)
I remember reading about Kaiser P in the states and apparently one of the things the docs working for them like is regular appraisals where everything - decision making/referrals/prescribing is gone through in detail in a supportive way. think of the quality this may drive?
There is a YouTube video of a Ted talk where an experienced surgeon who thought he was at the top of his game got one of his main rivals in to “review” his work and was stunned to find 100 comments in one operation and after he got over his ego he improved and his post op complication rate improved.
Is this any practices/colleagues have done? do you appraise / assess each other? Do you do it with your “junior” staff? ACPs. Why does it stop the moment training stops?