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Development and implementation of a systems-based practice project requirement for radiology residents
Robert F Buchmann1, Linda A Deloney, Sreechandra K Donepudi
1University of Arkansas for Medical Sciences, College of Medicine, Department of Radiology, 4301 W. Markham, No. 556, Little Rock, AR 72205, USA.
Academic Radiology
|July 16, 2008
Summary
Radiology residents can improve healthcare systems by identifying and analyzing errors, then implementing solutions. This systems-based practice activity enhances learning and clinical environments.
Area of Science:
- Medical Education
- Healthcare Systems Improvement
- Radiology Training
Background:
- Radiology residents require training in systems-based practice to identify and address healthcare errors.
- Accreditation standards now mandate participation in learning activities focused on system error analysis and solution implementation.
- Documentation of participation in a resident learning portfolio is essential.
Purpose of the Study:
- To design and implement an educational activity for radiology residents focused on systems-based practice.
- To enhance residents' knowledge of healthcare systems and problem-solving skills.
- To provide practical experience in project proposal, investigation, and reporting.
Main Methods:
- An adult learning principles-based activity was developed for postgraduate year 2 residents.
- Residents identified a systems problem, submitted a proposal with a hypothesis and intervention plan, and conducted an investigation.
- Approved proposals led to projects presented to the radiology department, with results evaluated and presented by postgraduate year 3.
Main Results:
- Nine projects were proposed and conducted by 12 residents between 2006 and 2008.
- Projects addressed local and national systems issues, involving residents, faculty, and medical students.
- A timeline was implemented to ensure sustained effort on the projects.
Conclusions:
- Daily work provides opportunities to teach and learn systems-based practice concepts.
- Residents can apply the scientific method to evaluate the impact of changes in healthcare systems.
- Engaging in relevant, practical projects allows residents to learn while improving their educational and clinical settings.
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