Kolade Victor O, Sethi Anuradha
Department of Internal Medicine, The Guthrie Clinic, Sayre, PA, USA;
Department of Biostatistics, Boston University, Boston, MA, USA.
J Community Hosp Intern Med Perspect. 2016 Feb 17;6(1):29542. doi: 10.3402/jchimp.v6.29542. eCollection 2016.
Quality improvement (QI) has become an essential component of medical care in the United States. In residency programs, QI is a focus area of the Clinical Learning Environment Review visits conducted by the Accreditation Council for Graduate Medical Education. The readiness of applicants to internal medicine residency to engage in QI on day one is unknown.
To document the reporting of QI training or experience in residency applications.
Electronic Residency Application Service applications to a single internal medicine program were reviewed individually looking for reported QI involvement or actual projects in the curriculum vitae (CVs), personal statements (PSs), and letters of recommendation (LORs). CVs were also reviewed for evidence of education in QI such as completion of Institute for Healthcare Improvement (IHI) modules.
Of 204 candidates shortlisted for interview, seven had QI items on their CVs, including one basic IHI certificate. Three discussed their QI work in their PSs, and four had recommendation letters describing their involvement in QI. One applicant had both CV and LOR evidence, so that 13 (6%) documented QI engagement.
Practice of or instruction in QI is rarely mentioned in application documents of prospective internal medicine interns.
质量改进（QI）已成为美国医疗保健的重要组成部分。在住院医师培训项目中，QI是研究生医学教育认证委员会进行的临床学习环境评审访问的重点领域。内科住院医师申请人在入职第一天参与QI的准备情况尚不清楚。
记录住院医师申请中QI培训或经验的报告情况。
对一个内科项目的电子住院医师申请服务申请进行逐一审查，在简历（CV）、个人陈述（PS）和推荐信（LOR）中寻找报告的QI参与情况或实际项目。还审查简历，以寻找QI教育的证据，如完成医疗保健改进研究所（IHI）模块。
在入围面试的204名候选人中，7人的简历中有QI项目，包括1份IHI基础证书。3人在个人陈述中讨论了他们的QI工作，4人有推荐信描述他们参与QI的情况。1名申请人同时有简历和推荐信的证据，因此有13人（6%）记录了QI参与情况。
未来内科实习生的申请文件中很少提及QI实践或指导。
