使用机构模板进行年度项目评估与改进：对项目参与度和绩效的益处。
Use of an institutional template for annual program evaluation and improvement: benefits for program participation and performance.
作者信息
Andolsek Kathryn M, Nagler Alisa, Weinerth John L
出版信息
J Grad Med Educ. 2010 Jun;2(2):160-4. doi: 10.4300/JGME-D-10-00002.1.
PURPOSE
The Accreditation Council for Graduate Medical Education (ACGME) expects programs to engage in ongoing, meaningful improvement, facilitated in part through an annual process of program assessment and improvement. The Duke University Hospital Office of Graduate Medical Education (OGME) used an institutional practice-based learning and improvement strategy to improve the annual evaluation and improvement of its programs.
METHODS
The OGME implemented several strategies including the development and dissemination of a template for the report, program director and coordinator development, a reminder and tracking system, incorporation of the document into internal reviews, and use of incentives to promote program adherence.
RESULTS
In the first year of implementation (summer 2005), 27 programs (37%) submitted documentation of their annual program evaluation and improvement to the OGME; this increased to 100% of programs by 2009. A growing number of programs elected to use the template in lieu of written minutes. The number of citations related to required program review and improvement decreased from 12 in a single academic year to 3 over the last 5 years.
CONCLUSION
Duke University Hospital's institutional initiative to incorporate practice-based learning and improvement resulted in increased documentation, greater use of a standardized template, fewer ACGME-related citations, and enhanced consistency in preparing for ACGME site visits.
目的
毕业后医学教育认证委员会（ACGME）期望各项目能持续进行有意义的改进，部分改进通过年度项目评估和改进流程来推动。杜克大学医院毕业后医学教育办公室（OGME）采用了基于机构实践的学习与改进策略，以改善其项目的年度评估和改进工作。
方法
OGME实施了多项策略，包括制定并分发报告模板、开展项目主任和协调员培训、建立提醒和跟踪系统、将该文件纳入内部评审以及采用激励措施来促进项目的执行。
结果
在实施的第一年（2005年夏季），27个项目（37%）向OGME提交了其年度项目评估和改进的文件；到2009年，这一比例增至100%。越来越多的项目选择使用模板而非书面会议记录。与所需项目评审和改进相关的引用次数从单个学年的12次降至过去5年的3次。
结论
杜克大学医院将基于实践的学习与改进纳入其中的机构举措，带来了文件提交量的增加、标准化模板使用的增多、与ACGME相关引用的减少以及在准备ACGME现场考察时一致性的增强。
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