Absolutely correct: It should allow you to reflect but when the 'correct
answer' that gives the best score is one that you would not ever dream of
putting on a report because there was insufficient evidence, this does make
the QA aspect of the scheme more questionable.
For example the case a few weeks ago of a unilateral red eye; whereas the
correct guess of a pituitary tumour got full marks, the most appropriate
comment to send to a clinician would be to check the microbiology because
bacterial conjunctivitis occurs far more commonly and over-diagnosing
pituitary tumours by commenting on minimal clinical information would cause
significant excess morbidity in the vast majority of REAL cases.
TIM
****************************************************************************
*********
Prof. Tim Reynolds,
Clinical Chemistry Department,
Queens Hospital,
Belvedere Rd.,
Burton-on-Trent,
STAFFORDSHIRE,
DE13 0RB,
UK.
tel: 01283 511511 ext. 4035
fax: 01283 593064
email: [log in to unmask]
alternative email for the all too frequent occasions when the NHS email
connection doesn't work:
[log in to unmask]
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> -----Original Message-----
> From: IAN WATSON [mailto:[log in to unmask]]
> Sent: 21 November 2002 13:28
> To: [log in to unmask]
> Subject: Re: report comments
>
>
> Surely the whole point of QA of interpretation isn't to
> reflect on your typical practice, but to give you some
> insight into what you might think/write/say in a particular
> situation and taking the responses and critically assess the
> apparent "best" response against what you do.
>
> If you realise you should/should not indicate/consider
> particular points then surely that is the point and why you
> gain CPD points.
>
> Whether particular groups should comment on treatment, the
> need to discuss with clinicians before commenting, etc. all
> depend on your particular context/prejudices. Whatever you do
> should be appropriate and may just, on occasion, be informed
> by being in the UKNEQAS interpretive scheme or indeed in more
> specialist schemes.
>
> Ian Watson
>
> >>> "Sharpe, Peter Dr" <[log in to unmask]> 11/21/02 12:14PM >>>
> I would go much further and state that I feel the whole area of report
> comments is a "nonsense". I would never, ever attach comments
> to any report
> unless I have personally spoken to the requesting clinician
> to find out more
> details.
>
> All the assessors want from us is to give text-book answers.
> In many cases,
> without knowing the full clinical details, our comments are
> useless and
> indeed even potentially dangerous.
>
> I have frequently thought about leaving the scheme, but
> haven't have the
> nerve to do so.
>
> Regards
>
> Peter
>
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