The Scherpbier report has been ‘translated’ by the AMC to a practical instrument: self-evaluation of quality management in residency programs (here referred to as self-evaluation tool). The instrument can be used to gain insight in the level of quality assurance at which the residency program currently operates. If you would like to read more about the Why of the self-evaluation tool, click here for a short article. It is also useful to use the self-evaluation tool in preparation for the audit of the training program. The MSRC explicitly asks for it.
The ‘modernization of specialty training’ (here referred to as modernization) has placed emphasis on competency development as central in resident education. This requires a new curriculum, another way of organisation of and another approach to training. It also requires that training programs systematically monitor and promote the quality of their specialty training. The report Quality Indicators of Specialist Training Programs (also known as the Scherpbier report, February 2009) proposes a step-wise plan for the development of a quality assurance system. The report can be downloaded here. Since the quality assurance system described in the report is primarily an internal system, the described system aims to provide for all involved in, and therefore responsible for, quality of training: clinical teachers, members of teaching groups, central training committees as well as residents.
The instrument for self-evaluation of quality assurance in residency programs describes the quality-related aspects and indicators and norms for four training domains: the educational region (OOR), the educational institution, the educational group, and the residents. Each quality norm is further described in 5 steps, which it can be fulfilled, and where each successive step defines successively higher levels of the quality assurance system. At the fifth and highest level quality of education is systematically and continuously worked on. You can click here to download the self-assessment tool. The instrument is (at the moment) a simple Excel document.
Training programs can fill out this questionnaire themselves. It is preferable that the form is filled out (at least) by the formal program director, one or more members of the teaching team and one or more residents.
After completion of the self-evaluation of quality assurance in residency programs, you can simply print out your report. This report provides (1) insight in the current level of the quality management system of your program, (2) a basis for your yearly report and (3) satisfies the requirement of MSRC to undergo a self-evaluation in preparation for the visitatie (external audit) of the training program.