Teaching and assessing resident competence in practice-based learning and improvement

被引:108
作者
Ogrinc, G
Headrick, LA
Morrison, LJ
Foster, T
机构
[1] White River Junct VA Hosp, White River Jct, VT 05009 USA
[2] Dartmouth Coll Sch Med, Dept Med, Hanover, NH USA
[3] Dartmouth Coll Sch Med, Dept Community & Family Med, Hanover, NH USA
[4] Univ Missouri, Sch Med, Dept Med, Columbia, MO 65212 USA
[5] Case Western Reserve Univ, Sch Med, Metrohlth Med Ctr, Ctr Healthcare Res & Policy, Cleveland, OH USA
[6] Baylor Coll Med, Dept Med, Sect Geriatr, Houston, TX 77030 USA
[7] Dartmouth Hitchcock Med Ctr, Dept Obstet & Gynecol, Lebanon, NH 03766 USA
[8] Dartmouth Hitchcock Med Ctr, Dept Community & Family Med, Lebanon, NH 03766 USA
关键词
practice-based learning and improvement; resident teaching; competencies; quality improvement;
D O I
10.1111/j.1525-1497.2004.30102.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We designed, implemented, and evaluated a 4-week practice-based learning and improvement (PBLI) elective. Eleven internal medicine residents from 2 separate residency programs participated in the PBLI elective and 22 other residents comprised a comparison group. Residents in each group had similar pretest Quality Improvement Knowledge Application Tool scores; but after the PBLI elective, participant scores were significantly higher. Also, participants' self-assessed ratings of PBLI skills increased after the rotation and remained elevated 6 months afterward. In this curriculum, residents completed a project to improve patient care and demonstrated their knowledge on an evaluation tool in a way that was superior to nonparticipants.
引用
收藏
页码:496 / 500
页数:5
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