| Show Learning Points most relevant to Phase 1: |
Clinical audit
| Clinical Discipline(s)/Organ System(s) Epidemiology, Hauora Māori, Population Health | Progress Test Topic(s) General duties |
Description
An audit in your primary care practice was undertaken to evaluate quality of care for different groups of patients. Māori and non-Māori patients in the enrolled population had approximately the same average number of visits per year. In comparison to non-Māori, Māori women were less likely to have a current smear and mammogram and Māori children were less likely to be up-to-date with immunisations. Māori patients with diabetes were less likely to have regular checkups and on average had less well-controlled diabetes. Enrolled Māori patients were less likely to have had a cardiovascular disease (CVD) risk assessment, and Māori patients with CVD were less likely to be on recommended therapy. Referral for laboratory and radiological investigation was less common for Māori patients.
Progress Test-Type Questions: Question 1 | Question 2 | Question 3Applied Science for Medicine
- Understanding of ethnicity and how it differs from related concepts
- Basic biomedical statistics and their application in research
- Understanding of ethnicity and how it differs from related concepts
- Basic biomedical statistics and their application in research
Clinical and Communication Skills
- Interpretation and communication of clinical audit data
- Interpretation and communication of clinical audit data
Personal and Professional Skills
- Understanding of clinical audit and quality improvement processes
- Self-reflective competencies
- Understanding of professional and legal issues related to clinical audit
- Ability to use health care data to improve health care access and quality
- Understanding of clinical audit and quality improvement processes
- Self-reflective competencies
- Understanding of professional and legal issues related to clinical audit
- Ability to use health care data to improve health care access and quality
Hauora Māori
- Understanding different ways of defining the Māori population; e.g. ethnicity, ancestry
- Importance of complete, high quality ethnicity data and issues in primary care
- Understanding of equity including the concepts of vertical and horizontal equity
- Understanding of inequities in health outcomes for Māori compared with non-Māori
- Understanding of inequities in access to health services and quality of medical care for Māori, and application of this to clinical quality improvement
- Understanding different ways of defining the Māori population; e.g. ethnicity, ancestry
- Importance of complete, high quality ethnicity data and issues in primary care
- Understanding of equity including the concepts of vertical and horizontal equity
- Understanding of inequities in health outcomes for Māori compared with non-Māori
- Understanding of inequities in access to health services and quality of medical care for Māori, and application of this to clinical quality improvement
Population Health
- Knowledge of screening and immunisation programmes
- The interface between population health and primary care
- Knowledge of screening and immunisation programmes
- The interface between population health and primary care
Conditions to be considered relating to this scenario
Common
immunisation delay, ischaemic heart disease, type 2 diabetes mellitus, cervical cancer, breast cancer
immunisation delay, ischaemic heart disease, type 2 diabetes mellitus, cervical cancer, breast cancer
