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Related Experiment Videos

Using an organizational development strategy to improve residency training.

H Leider1, R Zigelman, F Burg

  • 1Harvard Community Health Plan, Medford Center, MA 02155.

Academic Medicine : Journal of the Association of American Medical Colleges
|July 1, 1989
PubMed
Summary

Declining interest in internal medicine residencies necessitates program improvements. A consensus-based strategy successfully identified and addressed key educational issues, enhancing residency training quality.

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Area of Science:

  • Medical Education
  • Healthcare Administration

Background:

  • Medical student interest in internal medicine residencies is decreasing.
  • Improving the quality of residency training programs is crucial for attracting top students.

Purpose of the Study:

  • To implement a strategy using organization development principles to identify and solve educational problems in an internal medicine residency program.
  • To enhance the attractiveness and quality of internal medicine residency training.

Main Methods:

  • Employed the nominal group technique, a consensus-building method, involving residents, attending physicians, and administrators.
  • Identified and ranked educational problems based on importance and potential for solution.
  • Formed committees of housestaff and faculty to develop and implement management plans for high-priority problems.

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Main Results:

  • The nominal group technique successfully generated ranked lists of educational problems.
  • Problems with high importance and high potential for solution were prioritized.
  • Short-term interventions outlined in management plans were successfully implemented, with wide acceptance of the plans.

Conclusions:

  • The organization development strategy provides a pragmatic approach to improving internal medicine residency programs.
  • Focusing institutional resources on actionable and important problems leads to effective change.
  • This method can enhance the quality of graduate medical education and resident training.