Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada; Centre for Quality Improvement & Patient Safety, University of Toronto, Toronto, Ontario, Canada.
J Surg Educ. 2022 Jan-Feb;79(1):46-50. doi: 10.1016/j.jsurg.2021.08.001. Epub 2021 Sep 2.
We describe our five-year experience with a novel co-learning curriculum in quality improvement (CCQI) for the largest reported cohort of surgical residents. The program introduces trainees to principles of quality improvement (QI) and empowers them to complete collaborative projects with mentorship from faculty experts.
Each iteration consists of three interactive seminars. Residents are required to complete and present a QI project in the third seminar. To assess the impact of the program, graduates of the 2020-2021 iteration were surveyed using validated tools to examine changes in confidence and knowledge of QI principles.
Department of Surgery, University of Toronto, Toronto, ON, Canada.
Participation ranged from 57 to 63 residents yearly, from diverse surgical disciplines including General Surgery, Plastic Surgery, Obstetrics and Gynecology, amongst others. Multiple small groups consisted of 4-6 residents from each speciality, mentored by a faculty lead from the same specialty.
Approximately 300 first-year surgical residents have participated in the CCQI since 2015, with over 60 completed QI projects. A total of 41(66%) and 51(82%) residents completed the survey in its pre- and post-course administration in 2020-2021, respectively. There was a significant increase in confidence scores with respect to describing a QI issue, building a team, and testing the change, amongst other aspects. There was also a statistically significant increase in mean knowledge scores for both scenarios of the Quality Improvement Knowledge Application Tool. 69% and 73% of residents reported "some improvement" in their knowledge, and confidence in applying QI principles to patient care, respectively. A majority of residents (73%) found the QI curriculum somewhat valuable, with 23% reporting it to be very valuable to their residency and future surgical career.
We describe successful long-term implementation of a novel co-learning curriculum in quality improvement. Residents derive value from this curriculum with a meaningful increase in confidence and knowledge of QI as an integral part of surgical practice.
我们描述了一项针对最大规模的外科住院医师队列的新型合作学习质量改进（CCQI）课程的五年经验。该课程向学员介绍质量改进（QI）原则，并通过教师专家的指导，使他们能够完成合作项目。
每个迭代都包含三个互动研讨会。要求住院医师在第三个研讨会上完成并展示一个 QI 项目。为了评估该计划的影响，对 2020-2021 届毕业生进行了问卷调查，使用经过验证的工具来检查他们对 QI 原则的信心和知识的变化。
加拿大多伦多大学外科系。
每年有 57 至 63 名住院医师参加，来自包括普通外科、整形外科学、妇产科等不同外科专业。每个专业由 4-6 名住院医师组成的多个小组，由来自同一专业的教师领导指导。
自 2015 年以来，约有 300 名第一年的外科住院医师参加了 CCQI，共完成了 60 多个 QI 项目。2020-2021 年，分别有 41 名（66%）和 51 名（82%）住院医师完成了课程前后的调查。在描述 QI 问题、组建团队和测试更改等方面，住院医师的信心评分显著提高。质量改进知识应用工具的两种情况下的知识得分也都有统计学意义的提高。69%和 73%的住院医师报告在知识方面有“一定程度的提高”，分别有 73%和 73%的住院医师对将 QI 原则应用于患者护理的信心有所提高。大多数住院医师（73%）认为 QI 课程有些价值，23%的住院医师认为该课程对他们的住院医师生涯和未来的外科生涯非常有价值。
我们描述了一项新型合作学习质量改进课程的成功长期实施。住院医师从该课程中获得了价值，他们对 QI 的信心和知识有了显著提高，这是外科实践的一个组成部分。
