TY - JOUR
T1 - Local and national effects of a quality system in Dutch general practitioner specialty training: a qualitative study
AU - Buwalda, Nienke
AU - Braspenning, Jozé
AU - van Dijk, Nynke
AU - Visser, Mechteld
PY - 2018
Y1 - 2018
N2 - A quality system (named GEAR; acronym for Combined Evaluation Audit Round in English), has been introduced in eight institutes of the Dutch general practitioner specialty training. This paper focuses on the local and national effects of GEAR. Seventeen semi-structured interviews were conducted with the directors and quality co-ordinators. At a local level, GEAR provided the institutes with insights into their current practice. The institutes designed and implemented several improvement plans based on feedback. Furthermore, GEAR addressed quality management more systematically, and it enhanced the quality culture. At a national level, the institutes formulated national priorities. In addition, GEAR stimulated collaboration as a result of more frequent contacts. Institutes differed in their perception of the extent to which GEAR offered added value. Integrating the quality system into the local policy was sometimes a problem. Despite some scepticism at the start, GEAR provoked enthusiasm that can contribute to the quality of medical education.
AB - A quality system (named GEAR; acronym for Combined Evaluation Audit Round in English), has been introduced in eight institutes of the Dutch general practitioner specialty training. This paper focuses on the local and national effects of GEAR. Seventeen semi-structured interviews were conducted with the directors and quality co-ordinators. At a local level, GEAR provided the institutes with insights into their current practice. The institutes designed and implemented several improvement plans based on feedback. Furthermore, GEAR addressed quality management more systematically, and it enhanced the quality culture. At a national level, the institutes formulated national priorities. In addition, GEAR stimulated collaboration as a result of more frequent contacts. Institutes differed in their perception of the extent to which GEAR offered added value. Integrating the quality system into the local policy was sometimes a problem. Despite some scepticism at the start, GEAR provoked enthusiasm that can contribute to the quality of medical education.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85044281916&origin=inward
U2 - https://doi.org/10.1080/13538322.2018.1445431
DO - https://doi.org/10.1080/13538322.2018.1445431
M3 - Article
SN - 1353-8322
VL - 24
SP - 43
EP - 54
JO - Quality in Higher Education
JF - Quality in Higher Education
IS - 1
ER -