Katherine Duello1, Irene Louh2, Hope Greig3, Nancy Dawson4. 1. Department of Internal Medicine, Division of Cardiology, Mayo Clinic, Jacksonville, Florida, USA. 2. Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York, New York, USA. 3. Health Care Engineering, Department of Operations Administration, Mayo Clinic, Jacksonville, Florida, USA. 4. Division of Hospital Internal Medicine, Mayo Clinic, Jacksonville, Florida, USA.
Abstract
BACKGROUND: The Accreditation Council for Graduate Medical Education requires residents to learn and demonstrate proficiency in practice improvement. Quality improvement (QI) projects are a way to improve patient care as well as facilitate education on this core competency. There are inherent barriers to completing these goals in the structure of residency training including rigorous resident schedules and a limited number of projects and resources. OBJECTIVES: We developed a QI programme using an experiential class project and incorporated it into our Internal Medicine Resident Core Curriculum to improve the residents' knowledge of QI methods. We assessed the residents' experience, knowledge and interest in practice and QI subject matter with a survey preimplementation and postimplementation. METHODS: In 2009, 24 residents in the Internal Medicine resident programme completed a survey measuring their experience, knowledge and interest in QI initiatives. They then completed a QI 1-year programme, with monthly, 1-hour sessions combining didactics and a resident-designed project. At the conclusion of the year, the residents completed the same survey, and the results were compared and analysed. RESULTS: Postcurriculum questionnaires revealed residents were more knowledgeable about QI methods, showing improvement in knowledge about institutional-wide QI projects, better preparation for implementing a QI project, and more likely to participate in QI in the future. The project completed was one which improved patients' knowledge of their anticipated date of discharge from the hospital. CONCLUSIONS: A class quality project can teach QI to residents incorporating both didactic and practical methods to maximise the experience and minimise the barriers. We found that this method improved residents experience, knowledge and interest in quality initiatives. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
BACKGROUND: The Accreditation Council for Graduate Medical Education requires residents to learn and demonstrate proficiency in practice improvement. Quality improvement (QI) projects are a way to improve patient care as well as facilitate education on this core competency. There are inherent barriers to completing these goals in the structure of residency training including rigorous resident schedules and a limited number of projects and resources. OBJECTIVES: We developed a QI programme using an experiential class project and incorporated it into our Internal Medicine Resident Core Curriculum to improve the residents' knowledge of QI methods. We assessed the residents' experience, knowledge and interest in practice and QI subject matter with a survey preimplementation and postimplementation. METHODS: In 2009, 24 residents in the Internal Medicine resident programme completed a survey measuring their experience, knowledge and interest in QI initiatives. They then completed a QI 1-year programme, with monthly, 1-hour sessions combining didactics and a resident-designed project. At the conclusion of the year, the residents completed the same survey, and the results were compared and analysed. RESULTS: Postcurriculum questionnaires revealed residents were more knowledgeable about QI methods, showing improvement in knowledge about institutional-wide QI projects, better preparation for implementing a QI project, and more likely to participate in QI in the future. The project completed was one which improved patients' knowledge of their anticipated date of discharge from the hospital. CONCLUSIONS: A class quality project can teach QI to residents incorporating both didactic and practical methods to maximise the experience and minimise the barriers. We found that this method improved residents experience, knowledge and interest in quality initiatives. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Entities:
Keywords:
EDUCATION & TRAINING (see Medical Education & Training); MEDICAL EDUCATION & TRAINING; QUALITY IMPROVEMENT
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
Authors: Jennita G Meinema; Nienke Buwalda; Faridi S van Etten-Jamaludin; Mechteld R M Visser; Nynke van Dijk Journal: Acad Med Date: 2019-02 Impact factor: 6.893