1.1A   Clinical Audit

Definition: A series of consecutive patients where the participant's performance on a measurable parameter is benchmarked against best practice.  Minimum number of patients: 30.

Examples:
Presence and grade of meniscal tears on knee MR reported by participant versus arthroscopic findings; lung cancer stage reported by participant versus best practice of operative findings/biopsy findings/long term follow-up; yield of useful biopsies in a series performed by participant (best practice – pathology report).

Points Credited: 30 per audit of at least 30 patients
Maximum per year: no cap

Verification Required: Log Book or Audit Certificate or Audit Report

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1.1B   Special Case: BreastScreen Audit/Patient Outcomes Audit

Definition: Participation in Audit offered by BreastScreen Australia or BreastScreen Aotearoa.

Points Credited: 30 points
Maximum per year: no cap

Verification Required: Certificate from BreastScreen Australia or BreastScreen Aotearoa.

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1.1C   Special Case: RaPID Database Audit (RaPID radiological procedures database, www.irsa.com.au)

Definition: Self audit of procedural performance, outcomes or complications in a minimum of 30 patients.

Examples:
Success rate and complication rate for superficial femoral artery angioplasty; rate of useful histological results from core biopsy of lung masses; outcome of cerebral aneurysmal coilings in a patient cohort; infection rate of tunnelled Hickman's catheters.

Points Credited: 30 points
Maximum per year: no cap

Verification Required: Log Book or Printouts from database or Self Declaration

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1.1D   Special Case: Peer Consensus Audit

Definition: A series of cases are separately read by two radiologists.  A third radiologist reads the two reports and answers the following questions: a. Findings agree?, b. Conclusions agree?, c. Total agreement?  If the three readers agree, no further action need be taken.  If the third reader disagrees with either the first OR second reader, the third reader provides feedback to the reader in question.  If all three readers disagree, there is a review session.  If the disagreement is not resolved through the review session, the case should be followed up with comparison to best practice.

Points Credited: 10 points per 30 patients
Maximum per year: no cap

Verification Required: Log Book or Audit Certificate or Audit Report

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Definition: MQAP Image reviewers take part in a planned program of image reviews.

Points Credited: 10 points
Maximum per year: 10 points

Verification Required: College to verify

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1.2   Peer Review of Performance

Definition: Comparison of participant’s performance in a consecutive series of patients against performance by an independent participant (either blinded or unblinded).  Minimum number of patients: 30.

Examples:
Blinded second reading of chest CTs by another participant, comparison with issued reports, and analysis of discrepancies; Open review of brain MR reports by another participant against the MR cases, with feedback of concordances and discrepancies.

Points Credited: 10 points per 30 patients (can be increased in lots of 30 patients and 10 points respectively).
Maximum per year: no cap

Verification Required:  Log Book

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1.3   Formal Evaluation of Peer Performance for Medical Council or Medical Board

Definition: Active participation in formal review of performance of a Radiologist for the Medical Council (NZ) or the Medical Board (Australia) under the poorly performing practitioner pathway.

Points Credited: 2 points per hour
Maximum per year: 30 points

Verification Required:  Letter of confirmation from Medical Council/Medical Board.

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1.4A   Multidisciplinary Case Meetings with Feedback

Definition: Active presentation of radiological cases at multidisciplinary meetings, with either immediate or delayed feedback on the accuracy of radiological interpretation provided by non-radiological colleagues.  Consecutive and non-consecutive cases can be collected (recorded by logbook entry).  Informal consultation with feedback (i.e. case review outside of formal meetings) is acceptable, and also requires logbook entry.

Points Credited: 2 points per hour or 2 points per 5 cases
Maximum per year: 30 points
Note: where cases are MR cases, the CPD points can count towards MR specific requirements.

Verification Required:  Log Book

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1.4B   Peer Group Case Meetings with Feedback

Definition: Active presentation of radiological cases at peer group meetings, with either immediate or delayed feedback on the accuracy of radiological interpretation provided by colleagues.  Consecutive and non-consecutive cases can be collected (recorded by logbook entry).  Informal consultation with feedback (i.e. case review outside of formal meetings) is acceptable, and also requires logbook entry.

Points Credited: 2 points per hour or 2 points per 5 cases
Maximum per year: 30 points
Note: where cases are MR cases, the CPD points can count towards MR specific requirements.

Verification Required:  Log Book

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Definition: A structured QI activity whose aim is to improve the performance of either the participant as an individual, or the radiology practice in which the participant spends working time in a regular manner.  The activity should be able to be documented and result in a measurable outcome.  It can be undertaken under the auspices of the RANZCR Accreditation Guidelines & Quality Committee (AGQC) program, the Quality Use of Diagnostic Imaging (QUDI) program, or any formal institutional QI program.

Examples:
Critical Incident reporting, participation in a formal QI Collaborative, participation in a QUDI project.

Points Credited: 20 points per activity
Maximum per year: 20 points

Verification Required:  Log Book or Report or Declaration from institution

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