Sweigart Joseph R, Tad-Y Darlene, Pierce Read, Wagner Emilie, Glasheen Jeffrey J
University of Kentucky, Lexington, KY
University of Colorado, Aurora, CO.
Am J Med Qual. 2016 Jul;31(4):293-300. doi: 10.1177/1062860615580592. Epub 2015 Apr 8.
Dramatic changes in health care require physician leadership. Efforts to instill necessary skills often occur late in training. The Heath Innovations Scholars Program (HISP) provided preclinical medical students with experiential learning focused on process improvement. Students led initiatives to improve the discharge process for stroke patients. All students completed an aptitude survey and Quality Improvement Knowledge Assessment Test (QIKAT) before and after the program. Significant improvements occurred across subject areas of leadership (18.4%, P < .001), quality and safety (14.7%, P < .001), and health care systems operations (21.2%, P < .008), and in the domains of knowledge (25.9%, P < .001) and skills (25.2%, P < .001). Average cumulative QIKAT results improved significantly (8.33 to 9.83, P = .04). Three of 4 recommended interventions were implemented. Furthermore, students engaged in other process improvement work on return to their home institutions. The HISP successfully advanced preclinical medical students' ability to lead clinical systems improvement.
医疗保健领域的巨大变革需要医生发挥领导作用。培养必要技能的努力往往在培训后期才进行。健康创新学者项目（HISP）为临床前医学生提供了专注于流程改进的体验式学习。学生们主导了改善中风患者出院流程的倡议。所有学生在项目前后都完成了能力倾向调查和质量改进知识评估测试（QIKAT）。在领导力（18.4%，P < .001）、质量与安全（14.7%，P < .001）以及医疗保健系统运营（21.2%，P < .008）等学科领域，以及知识（25.9%，P < .001）和技能（25.2%，P < .001）方面都有显著提高。QIKAT的平均累积成绩显著提高（从8.33提高到9.83，P = .04）。4项推荐干预措施中有3项得到了实施。此外，学生们回到各自的母校后还参与了其他流程改进工作。HISP成功提升了临床前医学生领导临床系统改进的能力。
