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Table 3 Summary of study methods: sequential timeline and individual stages

From: Maximising harm reduction in early specialty training for general practice: validation of a safety checklist

Stage

Month/Year

Participants & Location

Purpose

Methods

Outcome

1.

April 2010

72 GP Educational Supervisors (South East Region of Scotland, UK)

· To identify safety-critical educational issues to be covered in early GPST

· Three 90-min facilitated workshops

· Generation of 12 Flipchart sheets of qualitative data on issues perceived to be safety-critical during the first 12 weeks of GPST in the general practice environment

    

· Group work and feedback

 

2.

June 2010

2 Educational Researchers (PB & JM, Glasgow, UK)

· To code, categorise and theme qualitative data

· Thematic analysis

· Generation of 18 Domains and 67 Items perceived to be safety-critical educational issues to be covered during early GPST

   

· To identify from key published literature on patient safety and primary care those issues with direct relevance to the GP training environment

  

3.

July to October 2010

6 Educators (5 GPST Programme Directors and 1 General Practice Manager, Glasgow, UK)

· To validate and refine existing Domains and Items and identify issues not covered.

· Modified Delphi group method (three rounds) utilising list of Domains and Items using electronic mail

· Further refinement: 15 Domains and 55 Items

   

· To explore potential uses of the information collected

 

· Agreement on development of a Checklist (for educational supervisors) and s Self-Assessment Tool (for GP trainees)

4.

February 2011

11 GPST Course Organisers and 1 Training Practice Manager

· To further validate and refine Domains and Items deemed to be essential for the first 12 weeks of GPST and identify issues not covered

· Pre-workshop reading and reflection

· Further refinement of Checklist/Self-Assessment Tool content: 14 Domains and 47 Items

   

· To explore issues around the acceptability and feasibility of the proposed Checklist and Self-Assessment Tool

· A single 4-h facilitated workshop

 
    

· Group work and feedback

 

5.

June to August 2011

9 GP Trainees

· To validate and refine Domains and Items deemed to be essential for the first 12 weeks of GPST and identify issues not covered

· A mix of workshop discussion (n = 3, 2 h) and four 30 min telephone interviews

· No essential safety-critical issues raised for this stage of training

6.

August 2011

24 GP Educational Supervisors, Renfrewshire, UK

· Final validation of checklist Domains and Items

· Completion of a Content Validity Index (CVI)

· Final agreement on a Checklist comprising 14 Domains and 47 related Items.