Information de reference pour ce titreAccession Number: | 00001888-201510000-00028.
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Author: | Hall Barber, Karen MD; Schultz, Karen MD; Scott, Abigail; Pollock, Emily MSc; Kotecha, Jyoti MSc; Martin, Danyal MA, MScHQ
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Institution: | K. Hall Barber is associate professor, Department of Family Medicine, Queen's University, and physician lead, Queen's Family Health Team, Kingston, Ontario, Canada. K. Schultz is associate professor and program director, Department of Family Medicine, Queen's University, and family physician, Queen's Family Health Team, Kingston, Ontario, Canada. A. Scott is data and quality improvement analyst, Queen's Family Health Team, Kingston, Ontario, Canada. E. Pollock is research associate, Centre for Studies in Primary Care, Department of Family Medicine, Queen's University, Kingston, Ontario, Canada. J. Kotecha is assistant director, Centre for Studies in Primary Care, and adjunct assistant professor, Department of Family Medicine, Queen's University, Kingston, Ontario, Canada. D. Martin is manager, Quality Improvement Plans & Quality Improvement Strategies, Health Quality Ontario, Toronto, Ontario, Canada.
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Title: | |
Source: | Academic Medicine. 90(10):1363-1367, October 2015.
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Abstract: | Problem: An emerging priority in medical education is the need to facilitate learners' acquisition of quality improvement (QI) competencies. Accreditation bodies in both Canada and the United States have included QI and patient safety in their core competencies.
Approach: In 2010, the Department of Family Medicine at Queen's University designed a graduate medical education curriculum to engage residents in a clinical QI program that would meet accreditation requirements. Monthly didactic sessions were combined with an experiential, team-based QI project that aligned with existing clinic priorities. The curriculum spans the first year of residency and is divided into three stages: (1) Engaging, (2) Understanding, and (3) Improving and translating. In Stage 1, teams of residents select a clinical QI topic, engage stakeholders, and collect baseline data related to their topic. In Stage 2, they focus on understanding their problem, interpreting their results, and applying QI tools. In Stage 3, they develop change ideas, translate their knowledge, and prepare to hand over their project.
Outcomes: This QI curriculum aided residents in effectively acquiring QI competencies and allowed them to experience real-world challenges, such as securing project buy-in, negotiating with peers, and developing solutions to problems. Unlike in many QI programs, residents learned how to improve quality rather than about QI; thus, they formed the necessary foundation to carry out QI work in the future.
Next Steps: The curriculum will be evaluated using a knowledge assessment and satisfaction tool and postproject resident interviews. Facilitators will focus more on improving faculty develop ment in QI.
(C) 2015 by the Association of American Medical Colleges
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References: | 1. Association of Faculties of Medicine of Canada. The Future of Medical Education in Canada Postgraduate Project. A Collective Vision for Postgraduate Medical Education in Canada. 2012 Ottawa, Ontario, Canada Association of Faculties of Medicine of Canada
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7. Health Quality Ontario. Quality improvement guide. 2012 http://www.hqontario.ca/portals/...- ouverture dans une nouvelle fenêtre. Accessed June 15, 2015
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Language: | English.
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Document Type: | Innovation Reports.
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Journal Subset: | Clinical Medicine. Health Professions.
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ISSN: | 1040-2446
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NLM Journal Code: | acm, 8904605
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DOI Number: | https://dx.doi.org/10.1097/ACM.0...- ouverture dans une nouvelle fenêtre
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