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BACKGROUND/RATIONALE:
Enter text here.
OBJECTIVE(S):
The Accreditation Council for Graduate Medical Education (ACGME) acknowledged the changing needs of physicians in training when it endorsed practice-based learning and improvement (PBLI) -- a competency that is typically omitted from medical curriculum. The goal is to have residents competent to investigate and evaluate their own patient care practices, integrate scientific evidence and be able to improve their practices. Available assessment tools do not adequately address all of the components of PBLI and few assessment tools attempt to capture the residents' ability to develop and implement clinically-based CQI projects that involve the practice setting. Curriculums without such foci miss the importance of system perspectives and opportunities for interprofessional team development. Our aim is to evaluate preliminary data on the curriculum we developed to address the gaps, to develop an assessment tool, and to provide methods for assessing the sustainability of system projects.
The key component of the curriculum is the integration of system quality improvement projects. PBLI curriculum was offered on alternate rotations. Preliminary data is available from 6 PBLI QI Systems Curriculum blocks (n=50) and 5 comparison blocks (n=42). Data includes closed- and open-ended questions designed to assess resident PBLI application skills, the notes and presentation slides for the residents' presentation.
METHODS:
We have the following specific aims:
Aim 1: To evaluate preliminary data on a PBLI curriculum grounded on QI system projects.
Hypothesis: Residents participating in the PBLI QI systems curriculum will demonstrate more knowledge and beliefs about developing and implementing QI systems projects than the comparison group. Method: The design is a pre-post comparison of PBLI curriculum participants versus non-participants. Data will come from closed-ended and open-ended questions.
Aim 2: To develop a PBLI QI assessment tool and manual based on closed-ended knowledge items, open-ended application items, and notes from resident teams' project development and presentation slides for their QI projects at the internal medicine's morbidity and mortality conference. Method: The pre-post design of the assessment tool will be combined with analysis of project development notes submitted by teams and the final set of slides used for the presentation at the IM MMC. Qualitative methods will be used to identify themes.
Aim 3: Provide preliminary data regarding the sustainability of the residents' systems projects and the impact of those projects on patient care and the organization. Method: Quantitative methods will be used (pre-post comparisons) comparing the baseline data residents used to establish the importance of the project focus with current parallel information.
FINDINGS/RESULTS:
No results at this time.
IMPACT:
One of the most important pathways to ensuring quality health care is to enable physicians to assess care and to make quality improvements. Analyses of the data collected will provide assessment of the impact of the curriculum on residents and the organization. The information will help develop a comprehensive assessment tool so that the competency of the residents in the PBLI can be more uniformly and consistently established.
PUBLICATIONS:
None at this time.
DRA:
none
DRE:
none
Keywords:
none
MeSH Terms:
none
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