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Developing a practice-based learning and improvement curriculum for an academic general surgery residency.

Erin S O'Connor¹, David M Mahvi, Eugene F Foley

¹Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. eoconnor@uwhealth.org

Journal of the American College of Surgeons

|March 30, 2010

Summary

Surgical residents showed significant improvement in practice-based learning and improvement (PBLI) skills after a 3-week curriculum. The program enhanced self-directed learning, clinical decision-making, and quality improvement knowledge, boosting resident satisfaction.

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Published on: May 20, 2018

Area of Science:

Medical Education
Surgical Training
Competency-Based Education

Background:

Surgery program directors face challenges integrating the Accreditation Council for Graduate Medical Education's (ACGME) practice-based learning and improvement (PBLI) competency.
A comprehensive PBLI experience was developed for postgraduate year 2 (PGY2) surgical residents.

Purpose of the Study:

To integrate specific PBLI competency goals into residents' clinical practice.
To assess the effectiveness of a novel PBLI curriculum on surgical residents' skills.

Main Methods:

A 3-week PBLI curriculum was implemented for 14 PGY2 residents.
The curriculum included complex clinical decision-making, individual learning plans, and quality improvement (QI) projects.
Pre- and post-rotation surveys assessed understanding of PBLI competencies; resident satisfaction was evaluated via standard evaluations.

Main Results:

Significant increases were observed in residents' knowledge of PBLI (p < 0.001), ability to assess learning needs (p < 0.001), and goal setting (p < 0.001).
Understanding of QI concepts (p = 0.001) and experience with QI projects (p < 0.001) also improved, with 14 QI projects developed.
Despite challenges in setting measurable goals, residents reported enhanced self-understanding and overall satisfaction.

Conclusions:

The PBLI curriculum implementation showed residents reported progress in clinical decision-making, self-directed learning, and QI familiarity.
The curriculum was well-received by surgical residents as a valuable training component.
A clinically grounded PBLI experience for PGY2 residents is recommended for continuation.