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Implementation of a Competency-based Pressure Ulcer Curriculum for Medical Students: Outcomes from an Educational
Maria Hendrika van Zuilen1, Preetha Kamath1, Juan Carlos Palacios1
1University of Miami Miller School of Medicine, Miami, FL.
Wound Management & Prevention
|April 18, 2019
Summary
Medical student education on pressure ulcers improved significantly with a competency-based curriculum. Quality improvement cycles enhanced learning, ensuring all students achieved basic competency in pressure ulcer prevention and management.
Area of Science:
- Medical Education
- Wound Care
- Quality Improvement in Healthcare
Background:
- Limited research exists on pressure ulcer education for medical students.
- Competency-based curricula are increasingly expected by accreditation agencies.
Purpose of the Study:
- To examine medical student competency outcomes after implementing a curriculum with a pressure ulcer component.
- To assess the effectiveness of a competency-based educational intervention for pressure ulcer knowledge.
Main Methods:
- A 5-year competency-based curriculum was implemented for 645 medical students.
- The curriculum included didactic sessions, online resources, clinical experiences, and online competency assessments.
- Quality improvement cycles were used between three implementation phases, with remediation for students not meeting the performance standard.
Main Results:
- Mean competency assessment scores significantly increased across the three phases after quality improvement (P <.001).
- The performance standard was raised after each quality improvement cycle.
- 8.7% of students required remediation, but all achieved the standard upon reassessment.
Conclusions:
- A quality improvement process successfully developed a focused curriculum ensuring basic competency in pressure ulcer management for all medical students.
- This competency-based curriculum serves as a model for medical schools seeking to meet accreditation standards.
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