SCARD Surgical Audit CPD Program Details

The SCARD Surgical Audit CPD Program: 2017 – 2019 Triennium

The SCARD surgical audit is a tool which tracks the diagnostic and therapeutic process in real-time to optimise patient safety as well as providing feedback-on-demand with respect to the practitioner.

SCARD is designed to facilitate self-auditing by skin cancer practitioners working in primary care.

By undertaking self-auditing and performing analysis with the SCARD Data Pool, practitioners demonstrate their Continuing Professional Development (CPD) and ongoing education.

Enrolment

Practitioners can elect to participate in the SCARD Surgical Audit CPD Program will be available once enrolment is open via the “CPD Enrolment” item in the “Preferences” menu from their SCARD Dashboard.

If you are a medical practitioner and do not have an existing SCARD account, please register for your free audit with SCARD. Please note that registrations must be validated prior to activation by the supervising practitioner.

Surgical Audit Outcomes

By participating in the SCARD audit, practitioners can determine the following indicators:

  • Number Needed to Treat (NNT): Number of Lesions tested to find one melanoma.
  • Percentage of biopsies/excisions for non-melanoma skin cancer which are malignant.
  • Diagnostic accuracy for the various skin malignancies.
  • Ratio of New BCCs to New Melanomas.
  • Proportion of definitive management procedures which are complex (flaps and grafts).
  • A breakdown of lesions by type.
  • A breakdown of melanomas by site.
  • A breakdown of procedures performed to diagnose malignant and benign lesions.

The SCARD Audit also provides details on the practitioner’s surgical performance for the following:

  • Accuracy: Practitioners can review their percentage breakdown for diagnostic accuracy based on their provisional diagnosis at time of excision / initial treatment.
  • Adequacy: Practitioners can view their percentage breakdown for definitively managed malignant cases where surgical margins were adequate with a breakdown by lesion type.

Collection periods

The SCARD surgical audit is performed over an initial 2-month period followed by a secondary 2-month period for comparison.

A minimum of 40 consecutive specimens per collection period should be captured to provide a broad cross-section of lesion types and treatments. For collection, a specimen is either a new or a previously treated lesion (known as “not new”) entered into SCARD with the provisional diagnosis and results recorded.

Reporting

By collecting data for the two separate periods, practitioners are able to compare the SCARD reports of each period to identify any noticeable differences in the results.

Long term observations

With continuous use of SCARD as a self-auditing tool, practitioners will be able to gauge their performance and improvement over time. The typical long-term changes observed are:

  • Improved recognition of Melanoma & Non-Melanoma Skin Cancer (NMSC) will improve practitioner’s Positive Predictive Value; correctly identifying the lesion with the provisional diagnosis.
  • Percentage of melanomas that are in-situ (disregarding initial consultations with each patient) is a surrogate for improved diagnostic accuracy (sensitivity).
  • NNT is a surrogate for improved specificity (not excising so many benign lesions).
  • Increased Adequacy of treatment for Melanoma & NMSC with greater proportion of adequate margins.

Submission to SCARD

Once the collection periods are completed and the comparison reports have been generated, the de-identified results are reported to the SCARD pool. The pool results are assessed & upon meeting the requirements, practitioners are recorded as completing the SCARD Surgical Audit CPD Program.

College recognition

The SCARD Surgical Audit CPD Program is recognised with several medical colleges as a self-auditing and quality improvement program for continuing professional development. By completing the requirements of the SCARD Surgical Audit CPD program, practitioners are eligible for recognition with the following:

  • RACGP – The Royal Australian College of General Practitioners
  • ACRRM – Australian College of Rural and Remote Medicine
  • RNZCGP – The Royal New Zealand College of General Practitioners

Practitioners can select which colleges they wish to receive recognition for based on their requirements as well as college membership.

Submission to SCARD

Once the collection periods are completed and the comparison reports have been generated, the de-identified results are reported to the SCARD pool. The pool results are assessed & upon meeting the requirements, practitioners are recorded as completing the SCARD Surgical Audit CPD Program.

The Royal Australian College of General Practitioners (RACGP)

SCARD is approved activity for the Royal Australian College of General Practitioners Quality Improvement & Continuing Professional Development (QI&CPD) Program. Use of SCARD as a clinical audit is also recognized as a QI activity by the RACGP.

This activity has been approved by the RACGP QI&CPD Program
40 Category 1 points, Quality Improvement – (Activity: 95073)
2017-2019 Triennium

Reporting
Practitioners who complete the requirements will be recorded on the Program Attendance List at the end of the calendar year the CPD program is first completed.

Outcome
40 Category 1 QI&CPD Points plus a QI Activity for the RACGP per triennium.

Fee
$330 for the 2017-2019 triennium*.

RNZCGP

The Royal New Zealand College of General Practitioners (RNZCGP)

SCARD is Approved Practice/Primary Health Organisation audit for the Royal New Zealand College of General Practitioners Maintenance of Professional Standards (MOPS) & Continuing Professional Development (CPD) Program.

Participants of the SCARD Surgical Audit who complete the CPD program are eligible to claim for two audit cycles with 10 CPD/MOPS credits for each audit cycle; a total 20 CPD/MOPS credits for the triennium.

Reporting
Doctors must complete an RNZCGP summary sheet outlining the action plan that they intend to implement based on the audit results.

Participants record completion on the CPD/MOPS Online credit summary, under the Audit of Medical Practice section.

From the drop down menu GP’s select “Approved Practice/PHO audit ” and record the audit name – “SCARD Surgical audit “, the audit date for the cycle and 10 credits.

Outcome
Total 20 CPD/MOPS credits (10 CPD/MOPS credits per cycle) per triennium.

Fee
No fees applicable for the 2017-2019 triennium.

ACRRM

Australian College of Rural and Remote Medicine (ACRRM)

SCARD Systems is a registered Education Provider with the Australian College of Rural and Remote Medicine and SCARD is a registered Clinical Audit for the 2017-2017 triennium.

Participants of the SCARD Surgical Audit who complete the CPD program are eligible for 30 Professional Development Program (PDP) points & 30 Maintenance of Professional Standards (MOPS) points.

Reporting
Practitioners who complete the requirements will be recorded on the ACRRM Professional Development Program Attendance List for submission to ACRRM at the end of the calendar year the CPD program is first completed.

Outcome
30 PDP Points plus 30 MOPS points for ACRRM per triennium.

Fee
No fees applicable for the 2017-2019 triennium.

Further information

Should you require further information about the SCARD Surgical Audit CPD Program or if you have questions about the SCARD Surgical Audit, please contact us via the Contact Us form or [email protected]

* About program fees

With the primary focus on education, the SCARD Surgical audit has been provided free-of-charge for the past 10 years and will continue to be so for all practitioners.

Fees are only applicable where an associated cost to SCARD has been applied for recognition as a facilitator and/or for accreditation of the SCARD CPD Program under the providers’ credits/points scheme. The practitioner must also elect to participate for recognition with the provider’s credits/points scheme with SCARD prior to any fees being applicable.

SCARD Systems Pty Ltd (ABN 54 167 827 607) is an Australian Private Company registered for GST. Currency amounts are in Australian Dollars (AUD) and include GST.