BACKGROUND: Although many residency programs are instituting quality improvement (QI) curricula in response to both institutional and external mandates, there are few reports of successful integration of resident initiated projects into these QI curricula with documented impact on health care processes and measures. INTERVENTION: We introduced a multifaceted curriculum into an Obstetrics-Gynecology continuity clinic. Following a needs assessment, we developed a didactic session to introduce residents to QI tools and the how to of a mentored resident-initiated project. Resident projects were presented to peers and faculty and were evaluated. A postgraduation survey assessed residents' satisfaction with the curriculum and preparedness for involvement in QI initiatives after residency. We also assessed whether this resulted in sustained improvement in health care measures. RESULTS: The curriculum was presented to 7 classes of residents (n = 25) and 17 resident initiated projects have been completed. Twenty-one residents (84%) completed the preintervention survey and 12 of 17 (71%) residents who completed the entire curriculum completed the postintervention survey. Sustained change in surrogate health measures was documented for 4 projects focused on improving clinical measures, and improvement in clinical systems was sustained in 9 of the remaining 13 projects (69%). Most of the respondents (75%, n = 9) agreed or strongly agreed that the projects done in residency provided a helpful foundation to their current QI efforts. CONCLUSION: This project successfully demonstrates that a multifaceted program in QI education can be implemented in a busy Obstetrics-Gynecology residency program, resulting in sustained improvement in surrogate health measures and in clinical systems. A longitudinal model for resident projects results in an opportunity for reflection, project revision, and a maintenance plan for continued clinical impact.
BACKGROUND: Although many residency programs are instituting quality improvement (QI) curricula in response to both institutional and external mandates, there are few reports of successful integration of resident initiated projects into these QI curricula with documented impact on health care processes and measures. INTERVENTION: We introduced a multifaceted curriculum into an Obstetrics-Gynecology continuity clinic. Following a needs assessment, we developed a didactic session to introduce residents to QI tools and the how to of a mentored resident-initiated project. Resident projects were presented to peers and faculty and were evaluated. A postgraduation survey assessed residents' satisfaction with the curriculum and preparedness for involvement in QI initiatives after residency. We also assessed whether this resulted in sustained improvement in health care measures. RESULTS: The curriculum was presented to 7 classes of residents (n = 25) and 17 resident initiated projects have been completed. Twenty-one residents (84%) completed the preintervention survey and 12 of 17 (71%) residents who completed the entire curriculum completed the postintervention survey. Sustained change in surrogate health measures was documented for 4 projects focused on improving clinical measures, and improvement in clinical systems was sustained in 9 of the remaining 13 projects (69%). Most of the respondents (75%, n = 9) agreed or strongly agreed that the projects done in residency provided a helpful foundation to their current QI efforts. CONCLUSION: This project successfully demonstrates that a multifaceted program in QI education can be implemented in a busy Obstetrics-Gynecology residency program, resulting in sustained improvement in surrogate health measures and in clinical systems. A longitudinal model for resident projects results in an opportunity for reflection, project revision, and a maintenance plan for continued clinical impact.
Authors: Brandy R Patterson; Kristopher J Kimball; Julie B Walsh-Covarrubias; Larry C Kilgore Journal: Am J Obstet Gynecol Date: 2008-07-29 Impact factor: 8.661
Authors: Carl A Patow; Kelly Karpovich; Lee Ann Riesenberg; Joseph Jaeger; Joel C Rosenfeld; Mary Wittenbreer; Jamie S Padmore Journal: Acad Med Date: 2009-12 Impact factor: 6.893
Authors: Romsai T Boonyasai; Donna M Windish; Chayan Chakraborti; Leonard S Feldman; Haya R Rubin; Eric B Bass Journal: JAMA Date: 2007-09-05 Impact factor: 56.272
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: Cheryl Courtlandt; Laura Noonan; Maureen Walsh Koricke; Philip Sanford Zeskind; Sarah Mabus; Leonard Feld Journal: J Grad Med Educ Date: 2016-02
Authors: Krista M Johnson; Wendy Fiordellisi; Ethan Kuperman; Alexis Wickersham; Carly Kuehn; Aparna Kamath; Joseph Szot; Manish Suneja Journal: J Grad Med Educ Date: 2018-06