Towards therapeutic drug monitoring of TNF inhibitors for children with juvenile idiopathic arthritis: a scoping review.

Objectives: Before a clinician decides whether treatment with TNF inhibition in children with JIA has failed, one should ensure adequate systemic exposure has been achieved. Therapeutic drug monitoring might allow for improved treatment outcome with lower treatment-associated costs. However, this requires understanding of the pharmacokinetic (PK) characteristics, and the pharmacokinetic/pharmacodynamic (PK/PD) relationship for children with JIA.

Accessibility, feasibility and educational impact of a peer review process for general practitioner consultation skills.

Background: External peer review of consultations has been available to general medical practitioners (GPs) in the west of Scotland for several years. This study aims to assess the feasibility, accessibility and educational impact of consultation peer review for GPs.

Method: An interview guide was developed and an independent researcher used this to interview a sample of 10 GPs who had submitted consultations for peer review in the previous six months.

Pilot study to develop and test a generic peer feedback instrument to review videotaped consultations in primary care.

Background: The ability to consult effectively is key to the delivery of quality patient care. External peer review of consultations has been available to general medical practitioners (GPs) in the west of Scotland for several years. Pharmacists are expected to provide increasingly complex advice for patients.

Verifying appraisal evidence using feedback from trained peers: views and experiences of Scottish GP appraisers.

Background: GP appraisal is currently considered inadequate because it lacks robustness. Objective assessment of appraisal evidence is needed to enable judgements on professional performance to be made.

Aim: To determine GP appraisers' views of the acceptability, feasibility, and educational impact of external peer feedback received on three core appraisal activities undertaken as part of this study.