Shroyer A Laurie, Lu Wei-Hsin, Chandran Latha
A.L. Shroyer is vice chair for research, Department of Surgery, and professor, Departments of Surgery, Internal Medicine, and Preventive Medicine, Stony Brook Medicine, Stony Brook, New York. W.-H. Lu works in the Office of the Dean, Stony Brook School of Medicine, and is assistant professor, Department of Preventive Medicine, Stony Brook Medicine, Stony Brook, New York. L. Chandran is vice dean for undergraduate medical education, Stony Brook School of Medicine, and professor, Department of Pediatrics, Stony Brook Medicine, Stony Brook, New York.
Acad Med. 2016 Apr;91(4):517-21. doi: 10.1097/ACM.0000000000001078.
Undergraduate medical education (UME) programs are seeking systematic ways to monitor and manage their educational performance metrics and document their achievement of external goals (e.g., Liaison Committee on Medical Education [LCME] accreditation requirements) and internal objectives (institution-specific metrics). In other continuous quality improvement (CQI) settings, summary dashboard reports have been used to evaluate and improve performance.
The Stony Brook University School of Medicine UME leadership team developed and implemented summary dashboard performance reports in 2009 to document LCME standards/criteria compliance, evaluate medical student performance, and identify progress in attaining institutional curricular goals and objectives. Key performance indicators (KPIs) and benchmarks were established and have been routinely monitored as part of the novel Drivers of Dashboard Development (3-D) approach to curricular CQI.
The systematic 3-D approach has had positive CQI impacts. Substantial improvements over time have been documented in KPIs including timeliness of clerkship grades, midclerkship feedback, student mistreatment policy awareness, and student satisfaction. Stakeholder feedback indicates that the dashboards have provided useful information guiding data-driven curricular changes, such as integrating clinician-scientists as lecturers in basic science courses to clarify the clinical relevance of specific topics. Gaining stakeholder acceptance of the 3-D approach required clear communication of preestablished targets and annual meetings with department leaders and course/clerkship directors.
The 3-D approach may be considered by UME programs as a template for providing faculty and leadership with a CQI framework to establish shared goals, document compliance, report accomplishments, enrich communications, facilitate decisions, and improve performance.
本科医学教育(UME)项目正在寻求系统的方法来监测和管理其教育绩效指标,并记录其在实现外部目标(如医学教育联络委员会[LCME]认证要求)和内部目标(特定机构的指标)方面的成果。在其他持续质量改进(CQI)环境中,汇总仪表盘报告已被用于评估和改进绩效。
石溪大学医学院UME领导团队于2009年制定并实施了汇总仪表盘绩效报告,以记录符合LCME标准/准则的情况,评估医学生的表现,并确定在实现机构课程目标方面的进展。关键绩效指标(KPI)和基准已经确立,并作为课程CQI的新型仪表盘开发驱动因素(3-D)方法的一部分进行定期监测。
系统的3-D方法对CQI产生了积极影响。随着时间的推移,在关键绩效指标方面已记录到显著改善,包括实习成绩的及时性、实习中期反馈、学生虐待政策知晓度和学生满意度。利益相关者的反馈表明,仪表盘提供了有用信息,指导了以数据为驱动的课程变革,例如将临床科学家纳入基础科学课程的讲师队伍,以阐明特定主题的临床相关性。要让利益相关者接受3-D方法,需要清晰传达预先设定的目标,并与部门领导以及课程/实习主任召开年度会议。
UME项目可以将3-D方法作为一个模板,为教师和领导层提供一个CQI框架,以确立共同目标、记录合规情况、报告成就、丰富沟通、促进决策并提高绩效。