Fig. 2From: The implementation of a quality system in the Dutch GP specialty training: barriers and facilitators; a qualitative studyGEAR figure. GEAR assesses the institutes in seven domains. The domains correspond with the WFME standards, but they have been adapted to the GP specialty training. All domains are assessed once every five years. Quantitative and qualitative assessment methods are used. The introduction of the system starts with self-evaluation and involves deadlines to ensure that all institutes take the different steps at the same time. Semi-annual meetings take place to exchange Good Practices. After the measurement round, institutes design and implement improvement plansBack to article page