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- Title
Teaching internal medicine residents quality improvement techniques using the ABIM's practice improvement modules.
- Authors
Oyler, Julie; Vinci, Lisa; Arora, Vineet; Johnson, Julie
- Abstract
<bold>Introduction/aim: </bold>Standard curricula to teach Internal Medicine residents about quality assessment and improvement, important components of the Accreditation Council for Graduate Medical Education core competencies practiced-based learning and improvement (PBLI) and systems-based practice (SBP), have not been easily accessible.<bold>Program Description: </bold>Using the American Board of Internal Medicine's (ABIM) Clinical Preventative Services Practice Improvement Module (CPS PIM), we have incorporated a longitudinal quality assessment and improvement curriculum (QAIC) into the 2 required 1-month ambulatory rotations during the postgraduate year 2. During the first block, residents complete the PIM chart reviews, patient, and system surveys. The second block includes resident reflection using PIM data and the group performing a small test of change using the Plan-Do-Study-Act (PDSA) cycle in the resident continuity clinic.<bold>Program Evaluation: </bold>To date, 3 resident quality improvement (QI) projects have been undertaken as a result of QAIC, each making significant improvements in the residents' continuity clinic. Resident confidence levels in QI skills (e.g., writing an aim statement [71% to 96%, P < .01] and using a PDSA cycle [9% to 89%, P < .001]) improved significantly.<bold>Discussion: </bold>The ABIM CPS PIM can be used by Internal Medicine residency programs to introduce QI concepts into their residents' outpatient practice through encouraging practice-based learning and improvement and systems-based practice.
- Subjects
RESIDENTS (Medicine); TEACHING aids; STUDY &; teaching of medicine; INTERNAL medicine; MEDICAL education; MEDICAL quality control; RESEARCH; MEDICAL office management; EVALUATION of human services programs; RESEARCH methodology; CURRICULUM; MEDICAL cooperation; EVALUATION research; INTERNSHIP programs; COMPARATIVE studies; QUALITY assurance; MEDICAL practice
- Publication
JGIM: Journal of General Internal Medicine, 2008, Vol 23, Issue 7, p927
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-008-0549-5