QIA | Medical Appraisal Scotland

Scottish Medical Appraisal Toolkit Domain 2 QIA

What is Quality Improvement Activity (QIA)?

QIA (Quality Improvement Activity) is a term used to cover a wide range of activities that reviews, evaluates and improve on the quality of your work. Some common QIA examples include:

Review of your performance against local, regional or national benchmarking data where this is robust, attributable and validated. This could include morbidity and mortality statistics or complication rates.
Review or audit of prescribing activity. This could include identifying lessons for improvement and compliance with clinical guidelines and early, routine reporting of adverse reactions and near misses.
Clinical audit. This must be evidence of effective participation in clinical audit or an equivalent quality improvement exercise that measures the care with which you have been directly involved.
Local audit: This must be evidence of effective participation in local audits of compliance with key safety alerts.
Case review or discussion. A documented account of interesting or challenging cases that you have discussed with a peer, another specialist or within a multidisciplinary team.
Learning event analysis.
Audit and monitoring of the effectiveness of a teaching programme.
Audit of outcomes from clinical guidelines, devices and innovations recently introduced, including training received and any changes to practice.
Evaluating the impact and effectiveness of a piece of health policy or management practice.

Submission of QIA is expected once every revalidation cycle. Additionally, multi-source feedback (MSF) and patient survey questionnaires (PSQ) are also considered examples of QIA, which are both required once in a 5-year revalidation cycle (though not necessary in the same appraisal year).

Structured reflective templates below are useful to aid your reflections for your appraisal.

A collection of QIA examples are available in our library collection which you might find of use if you are stuck on ideas on what to do.

We have provided details of some of the more commonly submitted QIAs for your considerations. Some examples are GP-centred but should give all doctors an indication of what they can achieve.

If you unsure about GMC requirements for supporting information please visit the GMC website for further guidance.

What is Quality Improvement Activity (QIA)?

What is Quality Improvement Activity (QIA)?

Related Documents