面向儿科毕业后医学教育项目主任的多模式质量改进课程。

A Multimodal Quality Improvement Curriculum for Pediatric GME Program Directors.

作者信息

Payne Asha S, Pavuluri Padma, Sten May-Britt, Corriveau Christiane, Berkowitz Deena A, Sarnacki Rachel, Soghier Lamia, Patterson Mary, Ottolini Mary C

机构信息

The George Washington University, Washington, DC Children's National Hospital, Washington, DC University of North Carolina Health Care System, Chapel Hill, NC University of Florida, Gainesville, FL Maine Medical Center, Portland, ME.

出版信息

Am J Med Qual. 2021;36(2):110-114. doi: 10.1177/1062860620929419.

DOI:10.1177/1062860620929419

PMID:32476456

Abstract

The 2016 Accreditation Council for Graduate Medical Education Clinical Learning Environment Review report identified knowledge gaps for quality in the clinical environment. It suggested quality improvement (QI) training is necessary to develop skills to improve health care quality. However, at the authors' institution, there is limited department-level QI mentorship and engagement, thus limiting QI experiences for residents and fellows. The authors developed pediatric graduate medical education program director (PD) proficiency in QI through a fellowship-focused QI project. PDs underwent an 18-month QI curriculum consisting of focused online QI education, a half-day workshop, additional QI didactic sessions, project presentations, and individual QI coaching. QI knowledge in 9 domains and participants' confidence were assessed. Participants' self-perceived confidence and skills increased by at least 20% in most domains. Overall, PDs felt prepared to help with their fellows' future QI projects. Fellowship-focused QI projects and individual coaching were key to course engagement.

摘要

2016年研究生医学教育认证委员会临床学习环境评审报告指出了临床环境中质量方面的知识差距。该报告建议，开展质量改进（QI）培训对于培养提高医疗保健质量的技能是必要的。然而，在作者所在的机构，部门层面的QI指导和参与有限，从而限制了住院医师和研究员的QI体验。作者通过一个以专科培训为重点的QI项目，提高了儿科研究生医学教育项目主任（PD）在QI方面的能力。PD们参加了一个为期18个月的QI课程，包括集中的在线QI教育、半天的研讨会、额外的QI教学课程、项目展示以及个人QI辅导。评估了9个领域的QI知识和参与者的信心。在大多数领域，参与者自我感知的信心和技能提高了至少20%。总体而言，PD们觉得自己有能力帮助其研究员开展未来的QI项目。以专科培训为重点的QI项目和个人辅导是课程参与的关键。