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Legitimizing Continuous Quality Improvement (CQI): Navigating Rationality in Undergraduate Medical Education.

Terry D Stratton¹

¹Office of Medical Education, University of Kentucky College of Medicine, Lexington, KY, USA. terry.stratton@uky.edu.

Journal of General Internal Medicine

|February 22, 2019

Summary

The Liaison Committee on Medical Education (LCME) now requires continuous quality improvement (CQI) in medical schools. This commentary offers strategies to ensure CQI effectively enhances teaching and learning in undergraduate medical education.

Keywords:

continuous quality improvement organizational behavior quality assurance stakeholder engagement undergraduate medical education

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Area of Science:

Medical Education
Accreditation Standards
Quality Improvement

Background:

The Liaison Committee on Medical Education (LCME) mandated a "formative accreditation" model in 2015.
This model requires medical schools to implement continuous quality improvement (CQI) processes.
Undergraduate medical education (UME) is increasingly defined by rationalistic, measurable outcomes.

Purpose of the Study:

To discuss factors contributing to the rationalization of UME.
To offer practical strategies for effective implementation of CQI in medical education.
To prevent CQI from being perceived as a mere administrative mandate.

Main Methods:

Commentary discussing the implications of "formative accreditation" in UME.
Analysis of challenges in implementing CQI within an increasingly rationalistic educational environment.
Proposal of strategies to maintain the focus of CQI on enhancing teaching and learning.

Main Results:

UME is undergoing a shift towards operational and measurable outcomes.
CQI initiatives may face resistance due to perceptions of administrative burden.
Strategies are needed to ensure CQI's purpose remains focused on educational enhancement.

Conclusions:

Effective implementation of CQI is crucial for the success of "formative accreditation".
Strategies must address potential barriers to CQI adoption and effectiveness.
Maintaining a focus on enhancing teaching and learning is key to maximizing CQI's impact in UME.