A framework for teaching medical students and residents about practice-based learning and improvement, synthesized from a literature review

被引:139
作者
Ogrinc, G
Headrick, LA
Mutha, S
Coleman, MT
O'Donnell, J
Miles, PV
机构
[1] Dartmouth Coll Sch Med, Dept Community & Family Med, Hanover, NH USA
[2] Dartmouth Coll Sch Med, Dept Med, Hanover, NH USA
[3] Univ Missouri, Columbia Sch Med, Ctr Hlth Care Quality, Columbia, MO USA
[4] Univ Calif San Francisco, Sch Med, Div Gen Internal Med, San Francisco, CA 94143 USA
[5] Univ Louisville, Sch Med, Dept Family & Community Med, Louisville, KY 40292 USA
[6] Amer Board Pediat Inc, Chapel Hill, NC USA
关键词
D O I
10.1097/00001888-200307000-00019
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Purpose. To create a framework for teaching the knowledge and skills of practice-based learning and improvement to medical students and residents based on proven, effective strategies. Method. The authors conducted a Medline search of English-language articles published between 1996 and May 2001, using the term "quality improvement" (QI), and cross-matched it with "medical education" and "health professions education." A thematic-synthesis method of review was used to compile the information from the articles. Based on the literature review, an expert panel recommended educational objectives for practice-based learning and improvement. Results. Twenty-seven articles met the inclusion criteria. The majority of studies were conducted in academic medical centers and medical schools and 40% addressed experiential learning of QI. More than 75% were qualitative case reports capturing educational outcomes, and 7% included an experimental study design. The expert panel integrated data from the literature review with the Dreyfus model of professional skill acquisition, the Institute for Healthcare Improvement's (IHI) knowledge domains for improving health care, and the ACGME competencies and generated a framework of core educational objectives about teaching practice-based learning and improvement to medical students and residents. Conclusion. Teaching the knowledge and skills of practice-based learning and improvement to medical students and residents is a necessary and important foundation for improving patient care. The authors present a framework of learning objectives-informed by the literature and synthesized by the expert panel-to assist educational leaders when integrating these objectives into a curriculum. This framework serves as a blueprint to bridge the gap between current knowledge and future practice needs.
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页码:748 / 756
页数:9
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