Having identified areas where change would be desirable, you need to develop a plan which will lead to the desired change. You need to reflect on how effective your proposal will be in bringing about the desired change. In some cases the change will be accomplished as part of the study of this area of essential evidence. In others, a larger piece of work is required, and should be included in your personal learning plan.
For example, an out-of-hours doctor who had surveyed prescribing in their organisation had found that a large range of antibiotics were used, and that when compared to local and national guidelines this suggested that prescribing in certain conditions was less than ideal. With the support of the medical director, the OOH doctor sets up a group to develop an antibiotic prescribing policy for the organisation, and included this project in their personal learning plan.
Having implemented change, you should reflect upon the need to review the change in the future. For instance, our OOH doctor might repeat the survey after the introduction of the new policy.
This page was last updated on: 08/03/2022
