Local and national effects of a quality system in Dutch general practitioner specialty training: a qualitative study

Figures & data

Figure 1. General practitioner specialty training in the Netherlands.

Table 1. Differences between accreditation and GEAR.

Accreditation	Internal QS	GEAR
Developed at a national level	Developed at a local level	Institutes cooperatively developed GEAR (local and national level)
Focusses on quality assurance and improvement at a local level	Focusses on quality assurance and improvement at a local level	Focusses on quality assurance and improvement at a local and national level
Tend to focus more on assurance	Tend to focus more on quality enhancement	Tend to focus more on quality enhancement

Figure 2. Quality System GEAR. Source: Adapted from Buwalda et al. (2017a) and Buwalda et al. (2017b).

Figure 3. Example of an improvement plan.

Buwalda, N., Braspenning, J., van Dijk, N. & Visser, M., 2017a, ‘The development of a collective quality system: challenges and lessons learned; a qualitative study’, BMC Medical Education, 17(1), p. 126.10.1186/s12909-017-0946-8

 PubMedGoogle Scholar

Buwalda, N., Braspenning, J., van Roosmalen, S., van Dijk, N. & Visser, M., 2017b, ‘The implementation of a quality system in the Dutch GP specialty training: barriers and facilitators; a qualitative study’, BMC Medical Education, 17(1), p. 127.10.1186/s12909-017-0947-7

 PubMedGoogle Scholar