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Abstract Introduction Quality improvement (QI) knowledge and skills are considered ACGME core competencies within the domains of practice-based learning and improvement, and systems-based practice. The Assessment of Quality Improvement Knowledge and Skills (AQIKS) is a brief, case-based, written assessment designed to measure QI competence among learners engaged in QI in a clinical environment. The assessment directs learners to identify quality problems and conceptualize a QI intervention. The AQIKS is based on concepts outlined in the Model for Improvement, developed by Associates in Process Improvement such as quality aims, driver diagrams, quality measures, and run charts. Methods The nine-question case-based paper assessment can be completed in approximately 15-20 minutes per case. It is recommended that each learner complete two cases. The clinical cases included in the assessment are designed to be familiar to pediatric residents, but they may also be familiar to medical students, fellows, and practicing clinicians in pediatrics or other medical specialties. The AQIKS questions and scoring rubric may also be used with other clinical cases; in particular, the clinical cases included in the Quality Improvement Knowledge Application Tool-Revised may also be suited for use with AQIKS question types and scoring rubric. Results In single-center pilot testing, pediatric residents had an approximately 20% increase in their AQIKS score after participating in a QI curriculum (from 40% to 60%) and a 20% higher score than a group of residents who did not receive formal QI education. Discussion Clinical trainees are required to complete education in systems-based practice and in practice-based learning and improvement, which includes training in QI. The AQIKS evaluates a learner's knowledge and ability to apply concepts outlined in the Model for Improvement, and can be used to demonstrate QI competence after QI instruction or to test the effectiveness of a QI curriculum. |
