By participating in the Quality Improvement Programme (QIP), it implies that the practitioner and practice have met the relevant Standards and is continuously taking steps to enhance quality at the personal and practice level.

About

 

QIP Level 1 Practice Visit for training in GCFM


This is conducted during the first six months of GCFM training. The Practice Assessor notifies the trainees four weeks before the visit. Trainees have to download the QIP Level 1 Practice Visit form which they have to complete and email back to the Practice Assessor at least ONE (1) week prior to the visit.


The objectives are to:


i.    Verify that the trainee is a bonafide qualified doctor working fulltime in that practice
ii.    Assess and accredit the practice as suitable for Family Medicine (FM) training in terms of case-mix, services provided, facilities, case mix and number of cases seen
iii.    If the minimum standards are fulfilled, the practice will be given a certificate of accreditation, valid for 5 years 

 

The QIP Level 1 Practice Visit Form for GCFM consists of FOUR (4) parts: 


Part I    Personal details (for Practice Assessor to confirm working place and time)
Part II    Practice details (the requirements are based on the Private Medical Clinic requirements)
Part III    Log diary of cases with reasons for encounter (RFE) seen over a week (to check on the case-mix)
Part IV Audit of Clinic Services (to check that the services provided are within the scope and nature of GP work)

 

During the visit, the Practice Assessor will provide immediate feedback to the trainee both orally and written, for any rectification or changes. Any rectification made have to be reported to the Practice Assessor within 3 months after the visit.

 

*Note: If the practice does not fulfil the required minimum criteria, the trainee will be advised to transfer to a centre that meets the criteria

 

QIP Level 2 & 3 Practice Visit for Training in ATFM 


After obtaining the GCFM certificate, trainees can continue to the 2-year ATFM training where they are assigned to a Mentor. 


Two (2) QIP Practice Visits are scheduled within the first six months of each year of ATFM training:


•    QIP Level 2 is conducted in ATFM Year 1 
•    QIP Level 3 is conducted in ATFM Year 2

 

The practice visits will preferably be undertaken by the trainee’s own mentor who can then monitor trainees’ progress at the monthly mentor-mentee meetings. 


Practice assessor/mentor will give 4 weeks’ notice of an impending visit to the trainee who will then download from the QIP website the relevant QIP Level 2 or 3 document. The trainee will send the completed document to Practice assessor/mentor two weeks before the visit.


The objectives are to:


i.    assess trainees’ actual practice at the workplace 
ii.    provide immediate written and verbal feedback for improvement 


This ATFM QIP Level 2 and 3 consists of FOUR parts each. Parts I, II and III MUST be completed by the trainees. 


Part I       : Personal details
Part II      : Practice details    
Part III    : Log of FIFTEEN (15) case records by the trainee for review and Case-based discussion 
                   Feedback from Practice Assessor / Mentor
Part IV    : Precepting of 4-6 cases with feedback by Practice Assessor / Mentor

 

The Practice assessor/mentor will review SIX (6) out of 15 case summaries submitted by the trainee.


The Practice Assessor/mentor will verify the actual case records and discuss with a trainee on issues in the diagnosis or management of the cases.


The trainee will arrange for four to six cases for precepting (direct observation) by the mentor. Precepting could be on history-taking, examination, procedures and managing patients. 


Practice Assessor / Mentors will assess whether the management has been comprehensive, evidence-based, safe and personalized; taking into account, preventive aspects, patient’s sociocultural circumstances and wishes.

 
Practice Assessor / Mentors are to reinforce good practice and to identify gaps or areas of weaknesses. It is the duty of the Practice Assessor to provide immediate oral and written feedback on the visit with recommendations for further improvement. 

For QIP Level 3 visit in ATFM Year 2, Practice Assessor / Mentors should look for areas not previously conducted during ATFM Year 1 Practice Visit or to revisit areas of previous weakness. It is important that feedback be given to the trainee regarding his/her performance. Any serious unsafe practices should be corrected and any change in practice address should be reported to the Censor Board.


All Practice Assessors need to be trained to conduct the QIP Practice visit.

Summary

  1. Quality Improvement Programme (QIP) will be in 3 levels (or stages), each higher than the preceding, and progression depends on practitioner/clinic having satisfactorily achieved the preceding level.

   2. Level 1 (Registration).

  • Eligibility: All general practitioners who are both members of AFPM or non-members in good standing.

  • AFPM Quality Certificate Level 1 is awarded if participating doctor/practice fulfilled a minimum standard. This certificate is valid for 3 years.

  • Minimum standard of attainment for criteria on clinic physical environment, clinic facilities and equipment, and provision of clinical service

 

   3. Level 2 (Certification).

  • Eligibility: General practitioners with valid AFPM Quality Certificate Level 1 AND any ONE of the following:

  • Registered DFM/ATP participants OR

  • Holders of Postgraduate Family Medicine qualifications* OR

  • Has been in general practice for at least 5 years**.

  • AFPM Quality Certificate Level 2 is awarded if participating doctor/practice fulfilled a minimum standard. This certificate is valid for 5 years.

  • Minimum standard of attainment for criteria on care processes. 

 

   4. Level 3 (Accreditation).

  • Eligibility: General practitioners with valid AFPM Quality Certificate Level 2 AND any ONE of the following:

    • Holders of Postgraduate Family Medicine qualifications* OR

    • Registered DFM/ATP participants

    • Has been in General Practice for at least 10 years**.

  • AFPM Quality Certificate Level 3 is awarded if participating doctor/practice fulfilled a minimum standard. This certificate is valid for 5 years.

  • Minimum standard of attainment for criteria on care outcomes.

 

  5. At each level, the peer reviewer will verify the documentation submitted by the participating practitioner/clinic. If fraud or misleading information is detected, the QIP for that offending practitioner/clinic is suspended until a full 100% audit is carried out by Practice Assessors.

Note:    
* Postgraduate Family Medicine qualification may include any of the following: MAFPM, FRACGP, MRCGP, MMed(FamMed), DFM or equivalent 
** The "Grandfather Clause" allow senior general practitioners to enter the QIP Level 2 or Level 3 without VTP or postgraduate family medicine qualifications. The "Grandfather Clause" will expire on 31st December 2014.

Contact details

Phone: +603 - 8993 9176 / 9177

Fax    : +603 - 8993 9187

Email : qipadmin@afpm.org.my 

   afpm@po.jaring.asia

Opening hours

08.30am - 05.30pm
Monday to Friday

[Lunch Break - Friday Only: 12.30 Noon to 2.45 PM]

© 2019 The Academy of Family Medicine of Malaysia (AFPM) | Quality Improvement Programme (QIP)