Return to Scenario ListShow 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
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 3
Applied Science for Medicine 
   - 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
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
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
Population Health 
   - Knowledge of screening and immunisation programmes
   - The interface between population health and primary care
Conditions to be considered relating to this scenario
immunisation delay, ischaemic heart disease, type 2 diabetes mellitus, cervical cancer, breast cancer