Henley Eric
Department of Family and Community Medicine, University of Illinois College of Medicine, Rockford, Rockford, Illinois, USA.
Jt Comm J Qual Improv. 2002 Jan;28(1):42-8. doi: 10.1016/s1070-3241(02)28005-0.
Despite frequent recommendations that quality improvement (QI) be incorporated into medical education, reports of this activity are few. A pilot project to develop and implement a curriculum on QI into a family medicine clerkship was conducted in the 1999-2000 academic year.
A five-part curriculum was developed and implemented on successive weeks of a family medicine clerkship. The curriculum involved students working alone and in small groups. After an orientation to QI principles, students performed a series of chart audits of diabetes care. They then met with QI coordinators from a local health system to review their results. Improvement recommendations were developed and presented to the clinic director. Evaluation included completion of the module, assessment of student knowledge and opinion, and interviews with the QI coordinators.
Two clinic sites and 30 third-year medical (M3) students participated. Each student conducted at least two chart audits, met with the QI coordinators, and developed at least one improvement recommendation. The QI coordinators felt that students were interested in the subject but needed more training in QI principles and more faculty development. Students assessed the curriculum as being moderately effective and useful.
A curriculum in QI that involved active learning strategies was successfully implemented during a family medicine clerkship. Students viewed the curriculum as being appropriate to their learning. Future efforts should include more work on faculty development and role modeling of QI activity.
尽管经常有人建议将质量改进（QI）纳入医学教育，但关于此类活动的报道却很少。1999 - 2000学年开展了一个试点项目，旨在开发并在家庭医学实习中实施一门关于质量改进的课程。
在家庭医学实习的连续几周内开发并实施了一个由五个部分组成的课程。该课程让学生单独和分组开展工作。在对质量改进原则进行介绍后，学生对糖尿病护理进行了一系列病历审核。然后他们与当地卫生系统的质量改进协调员会面，以审查审核结果。制定了改进建议并提交给诊所主任。评估包括完成该模块、评估学生的知识和意见，以及与质量改进协调员进行访谈。
两个诊所地点和30名三年级医学生（M3）参与其中。每个学生至少进行了两次病历审核，与质量改进协调员会面，并至少提出了一项改进建议。质量改进协调员认为学生对该主题感兴趣，但在质量改进原则方面需要更多培训，并且教师队伍也需要进一步发展。学生们认为该课程有一定效果且有用。
在家庭医学实习期间成功实施了一门包含主动学习策略的质量改进课程。学生们认为该课程适合他们的学习。未来的努力应包括在教师队伍发展以及质量改进活动的榜样示范方面开展更多工作。
