一个支持体验式教育以了解医疗保健公平性和质量改进的学习社区。

A Learning Community Supporting Experiential Education to Learn About Healthcare Equity Quality Improvement.

机构信息

Division of Hospital Medicine, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

Department of Obstetrics and Gynecology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

J Gen Intern Med. 2023 Oct;38(13):3060-3064. doi: 10.1007/s11606-023-08314-0. Epub 2023 Jul 24.

DOI:10.1007/s11606-023-08314-0

PMID:37488367

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10593695/

Abstract

BACKGROUND

Quality improvement (QI) for healthcare equity (HCE) is an important aspect of graduate medical education (GME), but there is limited published research on educational programs teaching this topic.

AIM

To describe and evaluate a novel curriculum and learning community for HCE QI.

SETTING

Academic institution.

PARTICIPANTS

Forty-eight participants: 32 learners and 16 faculty.

PROGRAM DESCRIPTION

This novel, longitudinal curriculum utilized a virtual hub-and-spoke learning community. Five interdepartmental teams of learners and faculty (spokes) used QI methods to address an existing institutional healthcare inequity (HCI). A team of experts (the hub) led monthly group meetings to foster the learning community and guide teams.

PROGRAM EVALUATION

Retrospective pre-post curricular surveys assessed participant satisfaction, knowledge, and skills in applying QI methods to address HCIs. Response rate was 33%. The majority of participants (92.4%) reported an increase in knowledge and skills in conducting QI for HCIs. All participants reported an increased likelihood of future engagement in HCE QI. Final QI projects average QIPAT7 score was 25.8 (SD = 4.93), consistent with "meets expectations" in most categories.

DISCUSSION

This program is a feasible model to teach GME learners and faculty about HCE QI and may be adopted by other institutions.

摘要

背景

医疗公平（HCE）的质量改进（QI）是研究生医学教育（GME）的一个重要方面，但关于教授这一主题的教育项目的研究有限。

目的

描述和评估一个新的 HCE QI 教育课程和学习社区。

地点

学术机构。

参与者

48 名参与者：32 名学习者和 16 名教师。

项目描述

这个新颖的、纵向课程利用了虚拟的中心辐射式学习社区。五个跨部门的学习者和教师团队（辐条）使用 QI 方法来解决现有的机构医疗保健不公平（HCI）问题。一组专家（中心）每月主持小组会议，以促进学习社区并指导团队。

项目评估

回顾性课程前后调查评估了参与者对应用 QI 方法解决 HCIs 的满意度、知识和技能。响应率为 33%。大多数参与者（92.4%）报告说，他们在进行 HCE QI 方面的知识和技能有所提高。所有参与者都表示更有可能在未来参与 HCE QI。最终的 QI 项目平均 QIPAT7 得分为 25.8（SD=4.93），在大多数类别中符合“达到预期”。