A Continuous Quality Improvement Curriculum for Residents: Addressing Core Competency, Improving Systems

Overview

Journal Acad Med

Specialty Medical Education

Date 2004 Sep 24

PMID 15383393

Citations 30

Authors

Alexander M Djuricich

Mary Ciccarelli

Nancy L Swigonski

Affiliations

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Abstract

Purpose: To describe the development, implementation, and evaluation of a residency continuous quality improvement (CQI) curriculum.

Method: Forty-four medicine and pediatrics residents participated in a CQI curriculum. Resident-designed projects were scored for CQI construct skills using a grading tool. Pre- and post-tests evaluated knowledge, perceived knowledge, interest, and self-efficacy.

Results: Differences between pre- and post-test perceived knowledge and self-efficacy were highly significant (p <.001). The mean project score was 81.7% (SD 8.3%). Higher knowledge was associated with higher ratings of self-efficacy. There was no correlation of measured knowledge with project score or interest.

Conclusions: Resident education and learning in CQI served to produce innovative and creative improvement projects that demonstrated individual residents' competency in practice-based learning and improvement.

Citing Articles

Enhancing Resident Education by Embedding Improvement Specialists Into a Quality and Safety Curriculum.

Levy K, Grzyb K, Heidemann L, Paliani D, Grondin C, Solomon G J Grad Med Educ. 2023; 15(3):348-355.

PMID: 37363669 PMC: 10286907. DOI: 10.4300/JGME-D-22-00456.1.

Clinicians' perspectives on quality: do they match accreditation standards?.

Akdemir N, Malik R, Walters T, Hamstra S, Scheele F Hum Resour Health. 2021; 19(1):75.

PMID: 34147114 PMC: 8214265. DOI: 10.1186/s12960-021-00616-w.

A Resident-Led QI Project to Improve Dental Health at a Primary Care Pediatric Practice.

Roth L, Robbins-Milne L, Sirota D, Lane M J Grad Med Educ. 2020; 12(5):571-577.

PMID: 33149826 PMC: 7594796. DOI: 10.4300/JGME-D-19-00959.1.

Learning by Doing: Design and Evaluation of a Quality Improvement Curriculum for Pediatric Hospitalists.

Szymusiak J, McCormick A Pediatr Qual Saf. 2020; 5(5):e340.

PMID: 32984740 PMC: 7480996. DOI: 10.1097/pq9.0000000000000340.

Evaluation of continuous quality improvement in accreditation for medical education.

Akdemir N, Peterson L, Campbell C, Scheele F BMC Med Educ. 2020; 20(Suppl 1):308.

PMID: 32981518 PMC: 7520980. DOI: 10.1186/s12909-020-02124-2.