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A continuous quality improvement curriculum for residents: addressing core competency, improving systems.
Alexander M Djuricich1, Mary Ciccarelli, Nancy L Swigonski
1adjurici@iupui.edu
Academic Medicine : Journal of the Association of American Medical Colleges
|September 24, 2004
Summary
This study shows that a continuous quality improvement (CQI) curriculum significantly boosted residents' perceived knowledge and self-efficacy. Resident-led projects demonstrated competency in practice-based learning and improvement.
Area of Science:
- Medical Education
- Healthcare Quality Improvement
Background:
- Continuous Quality Improvement (CQI) is crucial for enhancing healthcare delivery.
- Residency programs require effective training in CQI methodologies.
Purpose of the Study:
- To detail the creation, rollout, and assessment of a CQI curriculum for medical and pediatric residents.
- To evaluate the impact of CQI education on resident knowledge, skills, and project outcomes.
Main Methods:
- Forty-four residents engaged in a structured CQI curriculum.
- Resident projects were assessed using a standardized grading rubric for CQI skills.
- Pre- and post-curriculum tests measured knowledge, perceived knowledge, interest, and self-efficacy.
Main Results:
- Significant improvements were observed in perceived knowledge and self-efficacy post-curriculum (p <.001).
- Residents achieved an average project score of 81.7%.
- Higher self-efficacy correlated with increased knowledge, but measured knowledge did not correlate with project scores or interest.
Conclusions:
- The CQI curriculum successfully fostered resident competency in practice-based learning and improvement.
- Resident education in CQI resulted in innovative and creative quality improvement projects.
- The curriculum demonstrated effectiveness in enhancing residents' understanding and application of CQI principles.
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