BACKGROUND: Residency programs are increasingly being asked to defend their quality, and that of the residents they produce. Yet "residency quality" is a construct that has not been well defined, with no accepted standards other than meeting accreditation standards. In 2009, the Association of Family Medicine Residency Directors developed a strategic plan that included the goal of raising the quality of family medicine training. OBJECTIVE: We describe the development of this quality improvement tool, which we called the residency performance index (RPI), and its first year of use by family medicine residency programs. We describe the use of the tool as a "dashboard" to facilitate program self-improvement. INTERVENTION: Using program metrics specific to family medicine training, and benchmark criteria for these metrics, the RPI was launched in 2012 to help programs identify strengths and areas for improvement in their educational activities and resident clinical experiences that could be tracked and reviewed as part of the annual program evaluation. RESULTS: Approximately 100 program directors began using the tool and 70 finished the process, and were provided aggregate data. Initial review of this experience revealed difficulties with collecting data, and lack of information on graduates' scope of practice. It also showed the potential usefulness of the tool as a program improvement mechanism. CONCLUSIONS: The RPI is a new quality improvement tool for family medicine residency programs. Although some initial challenges need to be addressed, it has the promise to aid family medicine residency in its internal improvement efforts.
BACKGROUND: Residency programs are increasingly being asked to defend their quality, and that of the residents they produce. Yet "residency quality" is a construct that has not been well defined, with no accepted standards other than meeting accreditation standards. In 2009, the Association of Family Medicine Residency Directors developed a strategic plan that included the goal of raising the quality of family medicine training. OBJECTIVE: We describe the development of this quality improvement tool, which we called the residency performance index (RPI), and its first year of use by family medicine residency programs. We describe the use of the tool as a "dashboard" to facilitate program self-improvement. INTERVENTION: Using program metrics specific to family medicine training, and benchmark criteria for these metrics, the RPI was launched in 2012 to help programs identify strengths and areas for improvement in their educational activities and resident clinical experiences that could be tracked and reviewed as part of the annual program evaluation. RESULTS: Approximately 100 program directors began using the tool and 70 finished the process, and were provided aggregate data. Initial review of this experience revealed difficulties with collecting data, and lack of information on graduates' scope of practice. It also showed the potential usefulness of the tool as a program improvement mechanism. CONCLUSIONS: The RPI is a new quality improvement tool for family medicine residency programs. Although some initial challenges need to be addressed, it has the promise to aid family medicine residency in its internal improvement efforts.
Authors: Grant Hoekzema; Stoney Abercrombie; Sandra Carr; Joseph W Gravel; Karen L Hall; Stanley Kozakowski; Michael F Mazzone; Todd Shaffer; Martin Wieschhaus Journal: Ann Fam Med Date: 2010 Sep-Oct Impact factor: 5.166
Authors: Sebastian T C Tong; Laura A Makaroff; Imam M Xierali; Parwen Parhat; James C Puffer; Warren P Newton; Andrew W Bazemore Journal: J Am Board Fam Med Date: 2012 May-Jun Impact factor: 2.657
Authors: J M Klessig; S D Wolfsthal; M A Levine; W Stickley; R G Bing-You; T F Lansdale; D L Battinelli Journal: Acad Med Date: 2000-01 Impact factor: 6.893
Authors: E Yusuf; D S Y Ong; A Martin-Quiros; C Skevaki; J Cortez; K Dedić; A E Maraolo; D Dušek; P J Maver; M Sanguinetti; E Tacconelli Journal: Eur J Clin Microbiol Infect Dis Date: 2016-10-04 Impact factor: 3.267