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Teaching internal medicine residents quality improvement techniques using the ABIM's practice improvement modules
Julie Oyler1, Lisa Vinci, Vineet Arora
1Department of General Internal Medicine, University of Chicago, Chicago, IL, USA. joyler@medicine.bsd.uchicago.edu
Journal of General Internal Medicine
|May 2, 2008
Summary
Internal Medicine residency programs can enhance quality improvement education using the ABIM module. This curriculum boosts resident confidence in practice-based learning and improvement and systems-based practice skills.
Area of Science:
- Medical Education
- Quality Improvement
- Internal Medicine Residency Training
Background:
- Standardized curricula for teaching quality assessment and improvement to Internal Medicine residents are lacking.
- Quality assessment and improvement are crucial for Accreditation Council for Graduate Medical Education (ACGME) core competencies: practice-based learning and improvement (PBLI) and systems-based practice (SBP).
Purpose of the Study:
- To describe the implementation of a longitudinal quality assessment and improvement curriculum (QAIC) for postgraduate year 2 Internal Medicine residents.
- To evaluate the effectiveness of the QAIC in enhancing residents' quality improvement skills and confidence.
Main Methods:
- The curriculum integrated the American Board of Internal Medicine (ABIM) Clinical Preventative Services Practice Improvement Module (CPS PIM) into ambulatory rotations.
- Residents completed PIM chart reviews, patient/system surveys, data reflection, and participated in Plan-Do-Study-Act (PDSA) cycles in their continuity clinic.
Main Results:
- Three resident-led quality improvement (QI) projects were successfully implemented, leading to significant improvements in the continuity clinic.
- Resident confidence in QI skills, such as writing aim statements and utilizing PDSA cycles, showed statistically significant improvement (P < .01 and P < .001, respectively).
Conclusions:
- The ABIM CPS PIM provides a feasible framework for Internal Medicine residency programs to deliver QI education.
- This approach effectively promotes practice-based learning and improvement and systems-based practice among residents in outpatient settings.
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