Breaking the Barriers in Resident Education: A Quality Improvement Initiative
| Autor: | Samira Habibnejad, Jiny Olickal, Luigi X. Cubeddu, Elizabeth Kury-Perez, Daniela Pirela, Robert Goldszer, Larissa H. Cabarga, Pooja Pundhir |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality management Cardiology 030204 cardiovascular system & hematology 03 medical and health sciences Educational approach Young Adult 0302 clinical medicine Intervention (counseling) Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Aged Aged 80 and over Evidence-Based Medicine business.industry Health Policy Public Health Environmental and Occupational Health Internship and Residency Resident education Guideline American Heart Association Middle Aged Quality Improvement United States Comprehension Cholesterol Guideline implementation Family medicine Female Guideline Adherence business |
| Zdroj: | Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 40(4) |
| ISSN: | 1945-1474 |
| Popis: | INTRODUCTION In 2013, the American College of Cardiology and American Heart Association updated the cholesterol guideline. Despite strong evidence supporting the recommendations, a discernible gap exists in the number of residents who practice them. Our study aimed to identify barriers hindering residents from guideline implementation. METHODS Twenty eight residents were administered a preintervention and postintervention questionnaire to identify barriers in guideline application. The questionnaire was categorized into three barriers: knowledge, attitude, and behavior. A multifaceted educational intervention consisting of directed teaching sessions and supervised patient encounters was conducted. RESULTS Our analysis showed that our residents lacked awareness, familiarity, and self-efficacy in using the cholesterol guideline. The intervention led to significant improvements in awareness (79% vs. 43%, p = .0129), familiarity (61% vs. 29%, p = .0306), and self-efficacy (65% vs. 16%, p = .0018) and achieved a 31% increase in knowledge (p = .0001), 38% in attitude (p = .0001), and 20% in behavior (p = .019). The overall improvement in scores averaged 30% (p = .0001). CONCLUSION Our quality improvement initiative successfully improved our resident's comprehension and applicability of the 2013 ACC/AHA cholesterol guideline. We recommend a multifaceted educational approach tailored toward addressing specific barriers to improve the practice of evidence-based medicine. |
| Databáze: | OpenAIRE |
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