Baltimore, Maryland.
Trans Am Clin Climatol Assoc. 2023;133:119-135.
The biomedical research infrastructure of our academic medical centers elucidates disease mechanisms and develops diagnostic tests and treatments with scientific rigor, but the mechanism for reliably moving these findings into clinical settings lacks careful design. Hence, there is a wide gap between medical discoveries and the health benefit realized by the U.S. population. Performance improvement (PI) is a discipline that focuses on intentional redesign of core processes in our health system to close these gaps. The application of PI science is more consequential to health outcomes as is traditional biomedical research. This article describes why application and recognition of PI science as a discipline is imperative and why we should require training with similar intensity in undergraduate medical education (UME) and graduate medical education (GME). It also proposes investment in infrastructure (developing faculty expertise) and rigorous fellowships, which are, perhaps, more likely to thrive in teaching hospitals with a strong clinical mission.
我们学术医疗中心的生物医学研究基础阐明了疾病机制，并以科学严谨的态度开发出诊断测试和治疗方法，但将这些发现可靠地应用于临床环境的机制缺乏精心设计。因此，医学发现与美国人口所获得的健康效益之间存在很大差距。绩效改进（PI）是一门专注于重新设计我们医疗体系核心流程的学科，旨在缩小这些差距。PI 科学的应用对健康结果的影响比传统的生物医学研究更为重要。本文介绍了为什么将 PI 科学作为一门学科加以应用和认可至关重要，以及为什么我们应该在本科医学教育（UME）和研究生医学教育（GME）中以类似的强度进行培训。它还提出了对基础设施（发展教师专业知识）的投资，并提出了严格的奖学金，这在具有强大临床任务的教学医院中可能更有希望蓬勃发展。
