Varkey Prathibha, Karlapudi Sudhakar P, Bennet Kevin E
Division of Preventive Occupational and Aerospace Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Am J Med Qual. 2008 Jul-Aug;23(4):296-301. doi: 10.1177/1062860608317764.
Systems failures and their impact on quality and cost have fueled the need for a paradigm shift in medical education. Despite a growing interest in health care quality improvement (QI), few physician educators possess the necessary expertise in either systems engineering or QI. In this article, we describe a novel teaching partnership between engineers and physicians in implementing a 3-week elective QI training curriculum on health care QI. Nine learners, 2 preventive medicine and 7 endocrinology fellows, participated in this rotation. Key concepts taught by the 4 engineering faculty include stake-holder analysis, root cause analysis, process mapping, failure mode and effects analysis, resource management, negotiation, and leadership. Learner scores on the QI knowledge application tool improved significantly (P < .004) from 7.33 prerotation to 11.89 postrotation. Further research is necessary to study the effectiveness, efficacy, and scope of using engineering expertise in QI education initiatives.
系统故障及其对质量和成本的影响推动了医学教育范式转变的需求。尽管对医疗质量改进（QI）的兴趣日益浓厚，但很少有医师教育工作者具备系统工程或QI方面的必要专业知识。在本文中，我们描述了工程师与医师之间一种新颖的教学合作关系，即在实施一项为期3周的关于医疗QI的选修QI培训课程。九名学员，包括2名预防医学专业人员和7名内分泌科研究员，参与了此次轮转。4名工程学教员讲授的关键概念包括利益相关者分析、根本原因分析、流程映射、失效模式与效应分析、资源管理、谈判和领导力。学员在QI知识应用工具上的得分从轮转前的7.33显著提高到轮转后的11.89（P < .004）。有必要进行进一步研究，以探讨在QI教育项目中运用工程专业知识的有效性、效能和范围。
