Dr. Nancy Davis is director, Practice Based Learning and Improvement, Association of American Medical Colleges, Washington, DC. Dr. David Davis is senior director, Continuing Education and Improvement, Association of American Medical Colleges, Washington, DC. Mr. Johnson was research associate, Association of American Medical Colleges, Washington, DC. Dr. Grichnik is associate dean for continuing medical education and associate professor, Division of Cardiothoracic Anesthesia and Critical Care Medicine, Duke University School of Medicine, Durham, North Carolina. Dr. Headrick is senior associate dean for education, Helen Mae Spiese Distinguished Faculty Scholar, and professor of medicine, University of Missouri-Columbia School of Medicine, Columbia, Missouri. Dr. Pingleton is associate dean of continuing education/professional development and Joy McCann Professor of Women in Medicine and Science, University of Kansas School of Medicine, Kansas City, Kansas. Dr. Bower is assistant dean of continuing medical education and associate professor of medicine, Oregon Health & Science University School of Medicine, Portland, Oregon. Dr. Gibbs is associate dean of continuing medical education and professor, Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado.
Acad Med. 2013 Oct;88(10):1437-41. doi: 10.1097/ACM.0b013e3182a34ae7.
The recent health care quality improvement (QI) movement has called for significant changes to the way that health care is delivered and taught in academic medical centers (AMCs). This movement also has affected academic continuing medical education (CME). In January 2011, to better align the CME and QI efforts of AMCs, the Association of American Medical Colleges (AAMC) launched a pilot initiative called Aligning and Educating for Quality (ae4Q). The goal of this pilot was to assist 11 AMCs as they moved to a more integrated model of continuous performance improvement by aligning their quality measurement and improvement with their continuing education endeavors. In this article, the authors describe the development of the ae4Q pilot and the resulting outcomes that have led to ongoing improvements.During the 18-month pilot, AAMC consultants conducted readiness assessments and on-site visits and provided consultation services and Web-based resources based on the AMC's needs. Following these interventions at each site, they then conducted both interviews with participants and postintervention assessment surveys to measure the impact of the pilot. Findings included demonstrated increases in the alignment of CME and QI, a greater use of quality data in CME design and delivery, and a greater use of CME as an intervention for clinical improvement. Two sites also attributed measureable improved clinical outcomes to their participation in the ae4Q pilot. The AAMC has used these findings to create resources and ongoing services to support AMCs as they pursue efforts to align QI and CME.
最近的医疗质量改进（QI）运动呼吁对学术医疗中心（AMC）提供和教授医疗服务的方式进行重大变革。这一运动也影响了学术继续医学教育（CME）。2011 年 1 月，为了更好地协调 AMC 的 CME 和 QI 工作，美国医学院协会（AAMC）发起了一项名为“Aligning and Educating for Quality（ae4Q）”的试点计划。该试点计划的目标是通过将质量测量和改进与继续教育工作相结合，协助 11 所 AMC 向更综合的持续绩效改进模式转变。在本文中，作者描述了 ae4Q 试点计划的发展以及导致持续改进的结果。在 18 个月的试点期间，AAMC 顾问进行了准备情况评估和现场访问，并根据 AMC 的需求提供了咨询服务和基于网络的资源。在每个站点进行这些干预措施后，他们对参与者进行了访谈，并对干预后进行了评估调查，以衡量试点计划的影响。调查结果包括在 CME 和 QI 的协调方面的明显增加，在 CME 设计和交付中更多地使用质量数据，以及更多地使用 CME 作为临床改进的干预措施。两个站点还将可衡量的临床结果改善归因于他们参与 ae4Q 试点计划。AAMC 利用这些发现为 AMC 提供资源和持续服务，以支持他们努力协调 QI 和 CME。
