Systems-based practice: learning the concepts using a teamwork competition model.

Area of Science:

• Medical Education
• Healthcare Systems
• Graduate Medical Training

Background:

• Systems-Based Practice (SBP) is a crucial competency mandated by the Accreditation Council for Graduate Medical Education (ACGME).
• Integrating SBP into residency programs is essential for effective healthcare delivery.
• Current methods may not adequately foster resident comprehension of SBP.

Purpose of the Study:

• To develop and evaluate an innovative teamwork competition model.
• To enhance resident understanding and application of Systems-Based Practice principles.
• To measure the impact of the competition on resident knowledge of SBP.

Main Methods:

• Residents completed a pretest on SBP knowledge.
• A didactic lecture on SBP was delivered.
• Residents participated in a team-based competition to solve a programmatic residency problem, demonstrating SBP principles.
• Solutions were presented, followed by a post-test to assess knowledge gain.

Main Results:

• Pretest scores indicated limited understanding, with only 33% grasping the concept of SBP and 15% knowing its components.
• Post-test scores showed significant improvement, with 85% understanding SBP and 89% knowing its components.
• The teamwork competition model effectively increased resident knowledge of SBP.

Conclusions:

• The developed teamwork competition model is an effective strategy for improving resident understanding of Systems-Based Practice.
• This novel approach successfully addresses the ACGME mandate for SBP competency in residency training.
• Educational interventions utilizing team-based problem-solving can enhance core competency acquisition in medical residents.