Using the Plan-Do-Study-Act (PDSA) Model for Continuous Quality Improvement of an Established Simulated Patient...

Area of Science:

• Medical Education
• Healthcare Simulation
• Quality Improvement

Background:

• Simulated patient (SP) programs are crucial for medical education.
• Enhancing SP programs requires structured quality improvement (QI) processes.
• Previous QI efforts in SP programs have focused on specific aspects rather than comprehensive improvement.

Purpose of the Study:

• To describe the implementation of a continuous quality improvement (QI) process for a simulated patient (SP) program.
• To outline the initial steps taken to strengthen the SP program and optimize student learning.
• To evaluate the impact of QI changes on student, SP, and faculty experiences.

Main Methods:

• A dedicated workgroup of clinical faculty was formed to oversee the QI process.
• The Plan-Do-Study-Act (PDSA) model was employed for incremental quality improvements.
• Data were collected from students, SPs, and faculty to identify areas for enhancement.

Main Results:

• Developed comprehensive handbooks and clearer program materials for all stakeholders.
• Renamed 'standardized patients' to 'simulated patients' to clarify roles.
• Piloted streamlined and electronic rubrics, reduced SP training cases, and consolidated training locations.
• Gathered enhanced feedback from SPs through a dedicated retreat.

Conclusions:

• Initial QI changes were well-received by students, SPs, and faculty.
• The data and changes informed the hiring of a full-time employee dedicated to SP program assessment and support.
• Formal quantitative and qualitative assessments of the SP program have been initiated.