Reflective Template:  Quality Improvement Activity (QIA)

This reflective template has been designed to use with SOAR (Scottish Online Appraisal Resource).  On completion, please upload this to SOAR for submitting to your appraisal to share with your appraiser.	3-step guide to completing this form:

1)	Save this form (using “Save As”) to your computer (e.g. My Documents, Desk top), and rename the file (e.g. QIA Reflection 2021)
2)	Proceed to filling out the form - when finished, Save and Close the document.
3)	Login to SOAR and Upload this file from where you had saved it (from step 1) to your current appraisal.	

The boxes will expand automatically as you type into them.
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What supporting information have you provided for your QIA?
Audit of Arthroscopic rotator cuff repair outcomes.
Power point presentation of key findings of audit.	

What strengths or achievements does it demonstrate?
Strengths / Achievement: Efficacy of arthroscopic rotator cuff repair reinforced by this audit.	

Did you encounter any difficulties in this process?
Data collection and analysis: labour intensive	

Have you been able to make any changes as a result of undertaking this activity?
Older patients (>65 years) advised about higher rates of failure (30 %) and non-operative treatment options (steroid injections and physiotherapy) tried first.	

What have you learned from undertaking this activity?
Audit re-enforced the benefits of arthroscopic rotator cuff repair in carefully selected patients.
Younger patients with smaller rotator cuff tears (< 4 cms) had a better outcome.	

Is there anything else that you would like to/ need to do to follow it up?
Will conduct another audit in 2015 to assess the efficacy of steroid injections and anterior deltoid rehabilitation in patients with large rotator cuff tears.