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The Accreditation Council for Graduate Medical Education (ACGME) requires residents to demonstrate competence in practice-based learning and improvement (PBLI) and systems-based practice (SBP), two competencies dependent on the principles and practice of quality improvement (QI). In addition, pediatric residents at VCUHS are required to complete a QI project during their residency. We judged the pediatric residents to be sub-par in achieving these competencies as demonstrated by the quality of projects submitted during the last academic year, and set out to improve the QI education they receive by designing a longitudinal curriculum integrating both didactic (using lectures and on-line modules provided through the Institute for Healthcare Improvement) and experiential learning (by having residents develop their own QI projects). In the Fall of 2017, we added a structured PBLI experience to this curriculum through the residents’ primary group clinical practice in order to provide a hands-on learning opportunity. Each resident practice group was tasked with design, implementation, and analysis of a QI project based on the groups’ practice data. We reasoned that the learning acquired through participation in a structured QI experience, through the group practice, will enhance their understanding of QI principles and therefore improve their completion of personal projects. Implementation and data gathering is currently on-going.
1) Boonyasai RT, Windish DM, Chkaraborti C, Feldman LS, Rubin HR, Bass EB. Effectiveness of Teaching Quality Improvement to Clinicians: A Systematic Review. JAMA. 2007. 298(9): 1023 – 1037. 2) Mann KJ, Craig MS, Moses JM. Quality Improvement Educational Practices in Pediatric Residency Programs: Survey of Pediatric Program Directors. Academic Pediatrics. 2014; 14: 23-28. 3) Craig MS, Garfunkel LC, Baldwin CD Mann K, Moses JM, Patrick JT, Blumkin AK, Szilagyi PG. Pediatric Resident Education in Quality Improvement: A National Survey. Academic Pediatrics 2014; 14: 54-61. 4) Philibert I, Gonzalez del Rey JA, Lannon C, Lieh-Lai M, Weiss KB. Quality Improvement Skill for Pediatric Residents: From Lecture to Implementation and Sustainability. Academic Pediatrics 2014; 14: 40-46.
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VCU Medical Education Symposium