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病理学住院医师培训质量与患者安全课程的实施

Implementation of a Quality and Patient Safety Curriculum for Pathology Residency Training.

作者信息

Sapatnekar Suneeti, Demkowicz Ryan, Chute Deborah J

机构信息

Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.

Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, IN, USA.

出版信息

Acad Pathol. 2021 Mar 18;8:2374289521998046. doi: 10.1177/2374289521998046. eCollection 2021 Jan-Dec.

Abstract

Quality and Patient Safety education for resident physicians is necessary to prepare them for independent practice and to meet accreditation requirements. Integrating such education into the residents' routine work can provide them with valuable practical experience, while advancing the institution's quality priorities. We committed to Quality and Patient Safety education for our pathology residents but found no published program that met their specific needs. To fill this gap in pathology residency education, we designed and implemented a new curriculum that spans the 4-year duration of residency training. Curriculum content was drawn from the pathology milestones, and educational strategies were based on the principles of adult learning. The curriculum was implemented in the 2018 to 19 academic year, and residents were assessed before and after their participation. The residents engaged in several Quality and Patient Safety activities and projects under faculty supervision, and improved their scores on objective assessments (Quality and Patient Safety quiz and in-service examination). Implementation was facilitated by a Quality and Patient Safety chief resident, and the recruitment of faculty with demonstrated Quality and Patient Safety interest. Our comprehensive Quality and Patient Safety curriculum is feasible to implement and can help pathology residents develop the knowledge and skills needed to lead quality initiatives. We believe that the curriculum framework is readily adaptable to other residency programs.

摘要

对住院医师进行质量与患者安全教育,对于让他们为独立执业做好准备并满足认证要求而言是必要的。将此类教育融入住院医师的日常工作中,既能为他们提供宝贵的实践经验,又能推进机构的质量优先事项。我们致力于为病理科住院医师开展质量与患者安全教育,但未找到符合他们特定需求的已发表项目。为填补病理科住院医师培训教育的这一空白,我们设计并实施了一项贯穿四年住院医师培训期的新课程。课程内容取自病理学里程碑,教育策略基于成人学习原则。该课程于2018至2019学年实施,并在住院医师参与前后对他们进行了评估。住院医师在教员的监督下参与了多项质量与患者安全活动及项目,并提高了他们在客观评估(质量与患者安全测验及在职考试)中的分数。质量与患者安全总住院医师以及招募对质量与患者安全表现出兴趣的教员推动了课程的实施。我们全面的质量与患者安全教育课程实施起来是可行的,并且能够帮助病理科住院医师培养开展质量改进计划所需的知识和技能。我们认为该课程框架很容易适用于其他住院医师项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f799/7983410/028fba7cba59/10.1177_2374289521998046-fig1.jpg

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