Education in Quality Improvement for Practice in Primary Care During Residency Training and Subsequent Activities in Practice

Overview

Journal J Grad Med Educ

Date 2014 Apr 5

PMID 24701310

Citations 9

Authors

Peter J Carek

Lori M Dickerson

Michele Stanek

Charles Carter

Mark T Godenick

Gerard C Jebaily

Stuart Sprague

Elizabeth Baxley

Affiliations

Soon will be listed here.

Abstract

Background: Quality improvement (QI) is an integral aspect of graduate medical education and an important competence for physicians.

Objective: We examined the QI activities of recent family medicine residency graduates and whether a standardized curriculum in QI during residency resulted in greater self-reported participation in QI activities in practice after graduation.

Methods: The family medicine residency programs affiliated with the South Carolina Area Health Education Consortium (N = 7) were invited to participate in this study. Following completion of introductory educational activities, each site implemented regularly occurring (at least monthly) educational and patient care activities using QI principles and tools. Semiannually, representatives from each participating site met to review project aims and to provide updates regarding the QI activities in their program. To examine the impact of this project on QI activities, we surveyed graduates from participating programs from the year prior to and 2 years after the implementation of the curriculum.

Results: Graduates in the preimplementation and postimplementation cohorts reported participating in periodic patient care data review, patient care registries, QI projects, and disease-specific activities (57%-71% and 54%-63%, respectively). There were no significant differences in QI activities between the 2 groups except in activities associated with status of their practice as a patient-centered medical home.

Conclusions: Most but not all family medicine graduates reported they were actively involved in QI activities within their practices, independent of their exposure to a QI curriculum during training.

Citing Articles

Education Research: Sustained Implementation of Quality Improvement Practices Is Observed in Early Career Physicians Following a Neurology Resident QI Curriculum.

Xiong K, Miller-Kuhlmann R, Scott B, He Z, Dujari S, Gold C Neurol Educ. 2024; 3(2):e200137.

PMID: 39359889 PMC: 11441741. DOI: 10.1212/NE9.0000000000200137.

Delivering the AAMC "Teaching for Quality" Program through a Community-Based GME Collaborative: Lessons Learned to Date.

Church B, Corser W, Rohrer J, Hortos K, Harrison A Spartan Med Res J. 2021; 3(2):6977.

PMID: 33655141 PMC: 7746054.

The Statewide Campus System Scholarly Activity Developmental Planning Framework for Community-Based GME Leaders.

Corser W, Church B, Rohrer J, Hortos K Spartan Med Res J. 2021; 3(1):6521.

PMID: 33655133 PMC: 7746042.

Examination of Resident Physician Quality Improvement/Patient Safety Project Confidence Levels from Multiple Programs.

McGrail C, Urban J, Church B, Corser W Spartan Med Res J. 2021; 1(1):5097.

PMID: 33655101 PMC: 7745839.

Intervention Descriptions in Medical Education: What Can Be Improved? A Systematic Review and Checklist.

Meinema J, Buwalda N, van Etten-Jamaludin F, Visser M, van Dijk N Acad Med. 2018; 94(2):281-290.

PMID: 30157087 PMC: 6365274. DOI: 10.1097/ACM.0000000000002428.

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