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A conceptual model for practice-based learning and improvement competency in medicine.

Arezou Faraj Pour1, Shahram Yazdani2, Somayeh Akbari Farmad2

  • 1Department of Education Development Center, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.

Journal of Family Medicine and Primary Care
|September 19, 2022
PubMed
Summary

This study presents a conceptual model for practice-based learning and improvement (PBLI) competency in medicine. The model clarifies the six key blocks of PBLI, enhancing medical quality and patient safety.

Keywords:
PBLIpractice-based learningquality of care services

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Area of Science:

  • Medical Education
  • Healthcare Quality Improvement
  • Competency-Based Medical Training

Background:

  • Healthcare quality and performance evaluation are critical medical issues.
  • Suboptimal quality of care persists in many medical areas.
  • Practice-based learning and improvement (PBLI) is essential for enhancing medical practice.

Purpose of the Study:

  • To develop a conceptual model for practice-based learning and improvement (PBLI) competency in medicine.
  • To elucidate the core components and relationships within PBLI.

Main Methods:

  • Theoretical synthesis using Walker and Avant's method.
  • Comprehensive literature search across PubMed, Google, and Google Scholar.
  • Analysis of 229 full-text articles to construct the PBLI model.

Main Results:

  • A visual model of PBLI was developed, comprising six interconnected conceptual blocks.
  • The identified blocks include: approach to PBLI, PBLI process triggers, gap bridging solutions, PBLI infrastructure, PBLI sub-competencies, and PBLI academic development.
  • The model illustrates the relationships among these essential PBLI components.

Conclusions:

  • PBLI is a crucial competency for modern medicine, ensuring high-quality medical practice.
  • Effective PBLI requires individual skills alongside technical, strategic, structural, and cultural support.
  • Physicians utilizing PBLI can identify and address performance gaps, improving care quality, patient safety, and societal trust.