1. Quality Standards for Psychiatry Training Dr Andrew Brittlebank Vice President for Training UEMS Section for Psychiatry

2. What I’ll cover Quality in healthcare and in education The UEMS Quality Standards for Training in Psychiatry in Europe How to use the Standards

3. First, what is QA? Quality assurance – “all actions taken to establish, protect, promote and improve the quality of health care” Avedis Donabedian 2003

4. Three aspects to measuring quality Structure – Material & human resources, organisational factors Process – The activities contributing to education Outcome – The changes achieved by educational activity

5. Structure Facilities and equipment – Learning spaces, libraries, IT, portfolios Personnel – Numbers and qualifications of teachers, supervisors and trainers Organisational factors – Faculty relationships and accountabilities, learning culture, systems of quality control

6. Process Educational activities – Planning learning – Formal and informal learning – Assessments – Feedback – Co-production with learners

7. Outcome Impact on patients Change in behaviour Satisfaction of respondents Participation/completion of educational activity Learning has taken place Kirkpatrick’s hierarchy

8. What I’ll cover Quality in healthcare and in education The UEMS Quality Standards for Training in Psychiatry in Europe How to use the Standards

9. European Charter for Training Based on common structure as handed down from UEMS Council Three stage process of development similar to Competency-based Training Framework Incorporated existing standards Informed by contemporary notions of QA

10. European Charter for Training Training Requirements for Psychiatry Training Requirements for Trainees Organisation of Training Training Requirements for Trainers Training Requirements for Training Institutions

11. European Charter for Training Training Requirements for Psychiatry Training Requirements for Trainees – Knowledge – Skills – Professionalism

13. European Charter for Training Training Requirements for Psychiatry Organisation of Training – Assessment of trainees – Schedule of training (including access to training)

14. European Charter for Training Training Requirements for Psychiatry Training Requirements for Trainers – Process of recognition as a trainer Qualifications and experience Core competencies – Quality management for Trainers

15. European Charter for Training Training Requirements for Psychiatry Training Requirements for Training Institutions – Process of recognition as a training centre – Required clinical activities – Required equipment, accommodation, facilities etc – Quality management within training institutions

16. What I’ll cover Quality in healthcare and in education The UEMS Quality Standards for Training in Psychiatry in Europe How to use the Standards

17. A quality system UEMS Quality Standards National processes Local Education Provider Quality Assurance Quality Management Quality Control

18. Quality Framework Tool to support Quality Assurance Describes standards, which come from the European Charter for Training, adapted for Psychiatry Who is responsible for each standard What evidence is needed to show that the standard has been met

20. What I’ve covered Quality in healthcare and in education The UEMS Quality Standards for Training in Psychiatry in Europe How to use the Standards

21. Last word “It is the ethical dimension of individuals that is essential to a system’s success. Ultimately, the secret of quality is love” Avedis Donabedian, 2001

22. Thank you! Questions and comments?