Evaluation and ongoing development of PPEP

The program is committed to continuous quality improvement, and strive to stay current in the area of physician assessment, physician feedback, and quality improvement. By continuously improving the program we can better support physicians throughout their careers.

Quality improvement approach

The PPEP’s approach to physician enhancement is through guiding quality improvement by doing the following:                                                                    

  • physician assessment
  • feedback and coaching
  • collaboration to identify areas for improvement
  • providing curated quality improvement tools such as self-reflection/ action plan templates, assessment standards for medical record keeping, and links to relevant resources

Our goal is to encourage self-reflection and continual improvement within a culture of learning.

Theoretical models that shape the goals of PPEP

We use the PDSA (plan-do-study-adjust) model, or more accurately the OPDSA (observe-plan-do-study-adjust) cycle for our own continuous quality improvement.

We use the Cambridge model to provide feedback across multiple domains that may impact a physician’s professional performance.


Cambridge model
The Cambridge model for delineating performance and competence (Rethans, J. J., Norcini, J. J., Barón-Maldonado, M., Blackmore, D., Jolly, B. C., LaDuca, T., Lew, S., Page, G. G., & Southgate, L. H. (2002). The relationship between competence and performance: implications for assessing practice performance. Medical education, 36(10), 901–909. https://doi.org/10.1046/j.1365-2923.2002.01316.x)
Multi-component feedback approach

The program provides feedback related to a physician’s professional performance on the following areas:

  • feedback on clinical practice through physician assessments
  • feedback on prescribing of controlled medication
  • feedback from colleagues, non-physician co-workers, and patients
  • guidance on office management through office assessments

Though a multi-component approach, the program provides external evaluation of clinical practice and helps identify unperceived needs. Program feedback and educational support are provided to help physicians meet appropriate and current standards of practice throughout their professional lives.