Stille Christopher J, Savageau Judith A, McBride Jeanne, Alper Eric J
University of Colorado School of Medicine, Aurora, CO 80045, USA.
Am J Med Qual. 2012 Mar-Apr;27(2):98-105. doi: 10.1177/1062860611414404. Epub 2011 Sep 6.
Development of quality improvement (QI) skills and leadership for busy clinician-educators in academic medical centers is increasingly necessary, although it is challenging given limited resources. In response, the authors developed the Quality Scholars program for primary care teaching faculty. They conducted a needs assessment, evaluated existing internal and national resources, and developed a 9-month, 20-session project-based curriculum that combines didactic and hands-on techniques with facilitated project discussion. They also conducted pre-post tests of knowledge and attitudes, and evaluations of each session, scholars' projects, and program sustainability and costs. In all, 10 scholars from all 3 generalist disciplines comprised the first class. A wide spectrum of previous experiences enhanced collaboration. QI knowledge increased slightly, and reported self-readiness to lead QI projects increased markedly. Protected time for project work and group discussion of QI topics was seen as essential. All 10 scholars completed projects and presented results. Institutional leadership agreed to sustain the program using institutional funds.
对于学术医疗中心忙碌的临床教师而言,培养质量改进(QI)技能和领导力变得越来越必要,尽管鉴于资源有限,这具有挑战性。作为回应,作者为初级保健教学教员开发了质量学者项目。他们进行了需求评估,评估了现有的内部和国家资源,并开发了一个为期9个月、共20节的基于项目的课程,该课程将理论教学与实践技巧相结合,并辅以项目讨论。他们还进行了知识和态度的前后测试,以及对每节课、学者项目、项目可持续性和成本的评估。共有来自所有3个全科医学学科的10名学者组成了第一期学员。广泛的既往经验促进了合作。QI知识略有增加,报告的领导QI项目的自我准备程度显著提高。用于项目工作和QI主题小组讨论的受保护时间被视为至关重要。所有10名学者都完成了项目并展示了结果。机构领导层同意使用机构资金维持该项目。