Department of Preventive Medicine, Loma Linda University, Loma Linda, California 92350, USA.
Am J Prev Med. 2011 Oct;41(4 Suppl 3):S200-5. doi: 10.1016/j.amepre.2011.06.011.
Quality improvement and population medicine are skills that are increasingly important for physicians to possess. Methods to achieve foundational acquisition of these skills in medical school have not been well described in the past.
The primary goal of this project is to provide hands-on, experiential learning in full-cycle population-based care.
A description is given of a 4-week, team-based, rapid-cycle quality improvement project embedded in a required fourth-year medical school rotation. Over the course of 4 years a nonspecialty generic Ambulatory Care rotation was converted to a population-based learning rotation. For the last 3 years this rotation has required students to participate in teams of three to four students to assess, plan, implement, and evaluate a quality improvement project.
Between 2008 and 2010 a total of 510 students completed the rotation. During this time the project component of the rotation received a 53% average rating of "excellent" or "above average." Qualitative evaluation indicates the project to be an acceptable and worthwhile educational experience for medical students, adding new insights and occasionally career-changing perspectives.
Although experiential team-based quality improvement projects are a new format for learning in the medical school environment, it can be implemented in a format that is acceptable and beneficial to future physicians and healthcare systems.
质量改进和人群医学是医生越来越需要掌握的技能。过去，在医学院校中实现这些技能基础习得的方法并未得到很好的描述。
本项目的主要目标是提供全周期基于人群的医疗保健方面的实践经验学习。
本文介绍了一个为期 4 周的、以团队为基础的、快速循环质量改进项目，该项目嵌入在第四年的必修医学院轮转中。在 4 年的时间里，将一个非专业的普通门诊护理轮转转变为基于人群的学习轮转。在过去的 3 年中，该轮转要求学生以 3 到 4 人的团队形式参与质量改进项目的评估、计划、实施和评估。
在 2008 年至 2010 年间，共有 510 名学生完成了该轮转。在此期间，轮转项目的平均评分为“优秀”或“高于平均水平”，占 53%。定性评估表明，该项目对医学生来说是一种可接受且有价值的教育体验，为他们提供了新的见解，甚至偶尔会改变他们的职业规划。
尽管基于团队的体验式质量改进项目是医学院校环境中一种新的学习形式，但它可以采用一种对未来医生和医疗保健系统都可接受且有益的模式来实施。
