2015
Update on Informatics in the nMRCGP Curriculum
Marcus Baw
RCGP Health Informatics Group
@marcus_baw
nMRCGP Curriculum Update
Plan to redevelop RCGP curriculum was announced in 2013
HIG asked RCGP Curriculum team if we could be involved in revising
Informatics content
liaised with RCGP curriculum committee
collaboratively developed a "Wish List of Informatics Training"
(via open Google Document) with BCS, RCGP, and others
looked for examples of Informatics curricula elsewhere (eg AHIMA)
Data Quality
trainees need to be taught good practice in data quality
currently informatics not assessed in any but the most informal
way
secondary uses (whether or not we agree with them) rely on the
data quality
poor data quality impairs clinical safety
Training time available
2015
The GMC approved the new curriculum for implementation from August
2015
Core Competence: Make effective use of information management and
communication systems As a GP, this means you should: Use records and
informatics systems effectively for the full range of activities
required in your role, including (but not limited to): Obtaining
clinical and biographical information about patients Recording patient
findings and management plans Ordering investigations and interpreting
results Prescribing, monitoring and reviewing medicines Referring
patients or seeking advice Managing administrative work Communicating
with patients and colleagues Monitoring and managing safety risks
Searching for evidence and guidance Recording learning activities and
personal development plans Develop techniques that enable you to use
electronic patient records and other online information systems during
a consultation to enhance communication with the patient Routinely
record and appropriately code each clinical contact in a timely manner
and follow the record-keeping and data governance requirements of your
organisation Produce records that are sufficiently coherent,
comprehensive and comprehensible, appropriately and securely sharing
these with others who need legitimate access to them Contribute to
improvements in the quality of the medical record (e.g. through
development of templates) Make effective use of the tools and systems
that enable evaluation and improvement of your personal performance
(e.g. through use of reflective portfolios, patient satisfaction
surveys, multi-source feedback, significant event audits and other
quality improvement tools) Adopt the appropriate use of new
communication technologies, such as social media and online access to
information, to improve the accessibility and quality of services and
to enhance health literacy amongst the public
how to do what we already do, better
- clinical coding
- information governance
- Personal and patient digital security
- data quality
- How to consult with a computer in the room
- System-Specific Training
- structured records
- Social Media
- QOF
- Decision Support
what's happening to health IT that GPs need be aware of
- patient online access
- record sharing and locality health records
- Apps
- Secondary Use Data
- Political aspects of GP IT
Suggestions for those GP trainees with Informatics interest
GMC view
"We cannot allow four year training without the commitment that it
will be adequately resourced"
RCGP view
"Four year training is essential to ensure GPs of the future have
the right skill set"
Informatics Community's view
"Can't we just fix the Informatics content of the
three year curriculum?"