Barzansky Barbara, Hunt Dan, Moineau Geneviève, Ahn Ducksun, Lai Chi-Wan, Humphrey Holly, Peterson Linda
a American Medical Association , USA .
b Association of American Medical Colleges , USA .
Med Teach. 2015;37(11):1032-8. doi: 10.3109/0142159X.2015.1031735. Epub 2015 Apr 21.
Accreditation reviews of medical schools typically occur at fixed intervals and result in a summative judgment about compliance with predefined process and outcome standards. However, reviews that only occur periodically may not be optimal for ensuring prompt identification of and remediation of problem areas.
To identify the factors that affect the ability to implement a continuous quality improvement (CQI) process for the interval review of accreditation standards.
Case examples from the United States, Canada, the Republic of Korea and Taiwan, were collected and analyzed to determine the strengths and challenges of the CQI processes implemented by a national association of medical schools and several medical school accrediting bodies. The CQI process at a single medical school also was reviewed.
A functional CQI process should be focused directly on accreditation standards so as to result in the improvement of educational quality and outcomes, be feasible to implement, avoid duplication of effort and have both commitment and resource support from the sponsoring entity and the individual medical schools.
CQI can enhance educational program quality and outcomes, if the process is designed to collect relevant information and the results are used for program improvement.
医学院校的认证审查通常定期进行，并对是否符合预先确定的过程和结果标准做出总结性判断。然而，仅定期进行的审查可能并非确保及时发现和纠正问题领域的最佳方式。
确定影响为认证标准的定期审查实施持续质量改进（CQI）过程的能力的因素。
收集并分析了来自美国、加拿大、韩国和台湾的案例，以确定一所医学院校全国性协会和几个医学院校认证机构实施的CQI过程的优势和挑战。还审查了一所医学院校的CQI过程。
一个有效的CQI过程应直接关注认证标准，以提高教育质量和成果，实施可行，避免工作重复，并得到主办实体和各医学院校的承诺和资源支持。
如果CQI过程旨在收集相关信息并将结果用于项目改进，那么它可以提高教育项目的质量和成果。
