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Measuring the continuous quality improvement orientation of medical education programs
Danielle Blouin1, Everett V Smith2
1Queen's University, Kingston, Ontario, Canada.
International Journal of Health Care Quality Assurance
|February 22, 2020
Summary
The Baldrige questionnaire, a continuous quality improvement tool, is validated for medical education. This enables leaders to measure progress in their schools using this performance excellence framework.
Area of Science:
- Medical Education Research
- Quality Improvement Science
- Psychometrics
Background:
- Continuous quality improvement (CQI) is increasingly applied to medical education.
- The Malcolm Baldrige National Quality Award framework offers tools like the
- Are We Making Progress
- questionnaire for assessing performance excellence.
- This questionnaire has demonstrated validity in business, education, and healthcare.
Purpose of the Study:
- To analyze the measurement properties of the
- Are We Making Progress
- questionnaire data in medical education contexts using Rasch modeling.
- To determine if validity evidence supports the interpretation of results for performance excellence in medical education.
Main Methods:
- Faculty leaders and teachers from Canadian medical schools (16 of 17 invited) completed the 40-item questionnaire in 2015-2016.
- Data were analyzed using Rasch modeling (ConQuest software, rating scale model).
Main Results:
- 491 faculty members from 11 schools participated.
- A seven-dimensional, four-point response scale model demonstrated a good fit with the data.
- Evidence of structural, content, generalizability, and substantive validity supported the interpretation of results within medical education.
Conclusions:
- This study provides the first validation of the Baldrige questionnaire results in medical education settings.
- Medical education leaders can utilize this validated questionnaire for serial measurement of progress in their CQI initiatives.
Keywords:
Continuous quality improvementMedicineOrganizational performancePerformance measurementPsychometricsQuality frameworksMore Related Videos
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