Swimming With Sharks: Teaching Residents Value-Based Medicine and Quality Improvement Through Resident-Pitched Projects
| Autor: | Kerrilynn Carney, Scott Statman, Kevin Hauck, Brian P. Bosworth, Matthew S Durstenfeld, Brigette Cohan, Andrew Dikman |
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| Rok vydání: | 2019 |
| Předmět: |
Medical education
Quality management Faculty Medical Career Choice Graduate medical education New York Internship and Residency General Medicine Faculty Quality Improvement Education Education Medical Graduate Medical Surveys and Questionnaires Humans Educational Innovation Curriculum Psychology Graduate Value (mathematics) Delivery of Health Care Curriculum and Pedagogy Quality of Health Care |
| Zdroj: | J Grad Med Educ Journal of graduate medical education, vol 12, iss 3 |
| ISSN: | 1949-8357 |
| Popis: | Background To create meaningful quality improvement (QI) curricula for graduate medical education (GME) trainees, institutions strive to improve coordination of QI curricula with hospital improvement infrastructure. Objective We created a curriculum to teach residents about QI and value-based medicine (VBM) and assessed curricular effectiveness. Methods We designed a 2-week required curriculum for internal medicine residents at a large academic program. After participating in basic skills workshops, trainees developed QI/VBM project ideas with faculty and nonclinical support and pitched them to hospital leaders at the end of the rotation. Pre-post and 1-year follow-up surveys were conducted for residents to self-assess knowledge, attitudes, and skills, participation in QI/VBM projects, and career intentions. We tracked QI/VBM project implementation. Results In the first 2 years (2017–2018), 92 trainees participated, and 71 of 76 (93%) recommended the curriculum. Surveys (76 of 92, 83%) show improvement in our learning objectives (12%–60% pre to 62%–97% post; P Conclusions Our project-based curriculum culminating in a project pitch to hospital leadership was acceptable to GME trainees, improved self-assessed skills sustained at 1 year, and resulted in successfully implemented QI/VBM projects. |
| Databáze: | OpenAIRE |
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