Health Sciences Education Symposium

First Author Information

Tamar Springel, MD MSHP Assistant Professor Department of Pediatrics

Additional Author(s) Information

Ashlie Tseng MD, Kerri Carter MD, Christina Ching MD, Clifton Lee MD Department of Pediatrics

Presentation Format


Type of Activity


Original Presentation Date


Date of Submission

April 2018

Abstract/Short Description

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.


© The Author(s)

Is Part Of

VCU Medical Education Symposium