OBJECTIVE: The Accreditation Council for Graduate Medical Education (ACGME) requires residents to attain 6 core competencies. This article describes a model for integrating 2 of these competencies (practice-based learning and improvement and systems-based practice) into residency education and assesses the clinical outcomes achieved for patients. STUDY DESIGN: An observational study with before-after comparisons. INTERVENTION: Pediatric faculty facilitated multidisciplinary improvement team meetings (which included 8 residents) and implemented an established improvement model to improve the selected clinical condition (immunizations). MAIN OUTCOME MEASURES: The proportion of consecutive children who were up-to-date on DTP, polio, MMR, HIB, and hepatitis B vaccines by 24 months of age. RESULTS: The residents' improvement team successfully implemented 5 changes in the clinic process, which coincided with an increase in immunization rates for 2-year-olds during the 1-year study period. Clinic immunization rates increased from 60% at baseline to 86% at follow-up (P =.04). CONCLUSION: This study suggests that it is feasible to integrate practice-based learning and improvement and systems-based practice into residency education while providing a valuable learning experience for residents and improving patient outcomes.
OBJECTIVE: The Accreditation Council for Graduate Medical Education (ACGME) requires residents to attain 6 core competencies. This article describes a model for integrating 2 of these competencies (practice-based learning and improvement and systems-based practice) into residency education and assesses the clinical outcomes achieved for patients. STUDY DESIGN: An observational study with before-after comparisons. INTERVENTION: Pediatric faculty facilitated multidisciplinary improvement team meetings (which included 8 residents) and implemented an established improvement model to improve the selected clinical condition (immunizations). MAIN OUTCOME MEASURES: The proportion of consecutive children who were up-to-date on DTP, polio, MMR, HIB, and hepatitis B vaccines by 24 months of age. RESULTS: The residents' improvement team successfully implemented 5 changes in the clinic process, which coincided with an increase in immunization rates for 2-year-olds during the 1-year study period. Clinic immunization rates increased from 60% at baseline to 86% at follow-up (P =.04). CONCLUSION: This study suggests that it is feasible to integrate practice-based learning and improvement and systems-based practice into residency education while providing a valuable learning experience for residents and improving patient outcomes.
Authors: Christopher Nabors; Stephen J Peterson; Roger Weems; Leanne Forman; Arif Mumtaz; Randy Goldberg; Kausik Kar; Joseph A Borges; Ida Doctor; Orpha Lubben; Nisha Pherwani; William H Frishman Journal: J Grad Med Educ Date: 2011-03
Authors: Neda Laiteerapong; Chris E Keh; Keith B Naylor; Vincent L Yang; Lisa M Vinci; Julie L Oyler; Vineet M Arora Journal: Am J Med Qual Date: 2011-03-29 Impact factor: 1.852
Authors: Leigh A Baumgart; Ellen J Bass; Jason A Lyman; Sherry Springs; John Voss; Gregory F Hayden; Martha A Hellems; Tracey R Hoke; Katharine A Schlag; John B Schorling Journal: Proc Hum Factors Ergon Soc Annu Meet Date: 2010-01-01
Authors: Colleen Y Colbert; John D Myers; Christian T Cable; Paul E Ogden; Curtis Mirkes; Tresa McNeal; Shawn Skeen Journal: J Grad Med Educ Date: 2012-06