Shunk Rebecca, Dulay Maya, Julian Kathy, Cornett Patricia, Kohlwes Jeffrey, Tarter Laura, Hollander Harry, O'Brien Bridget, O'Sullivan Patricia
J Grad Med Educ. 2010 Mar;2(1):90-5. doi: 10.4300/JGME-D-09-00032.1.
Although residency programs must prepare physicians who can analyze and improve their practice, practice improvement (PI) is new for many faculty preceptors. We describe the pilot of a PI curriculum incorporating a practice improvement module (PIM) from the American Board of Internal Medicine for residents and their faculty preceptors.
Residents attended PI didactics and completed a PIM during continuity clinic and outpatient months working in groups under committed faculty.
All residents participated in PI group projects. Residents agreed or strongly agreed that the projects and the curriculum benefited their learning and patient care. A self-assessment revealed significant improvement in PI competencies, but residents were just reaching a "somewhat confident" level.
A PI curriculum incorporating PIMs is an effective way to teach PI to both residents and faculty preceptors. We recommend the team approach and use of the PIM tutorial approach especially for faculty.
尽管住院医师培训项目必须培养能够分析和改进其实践的医生，但实践改进（PI）对许多带教教师来说还是新事物。我们描述了一个PI课程的试点情况，该课程为住院医师及其带教教师纳入了美国内科医学委员会的实践改进模块（PIM）。
住院医师参加PI教学，并在连续性门诊和门诊月期间，在敬业的教师指导下分组完成一个PIM。
所有住院医师都参与了PI小组项目。住院医师同意或强烈同意这些项目和课程对他们的学习和患者护理有益。一项自我评估显示PI能力有显著提高，但住院医师仅达到“ somewhat confident”（有点自信）的水平。
纳入PIM的PI课程是向住院医师和带教教师传授PI的有效方法。我们推荐团队方法和使用PIM辅导方法，特别是针对教师。
