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Effects of an Experiential Learning Curriculum on Systems-Thinking
Kelly Kovaric1, Gareth Gingell2
1Department of Pediatrics, University of Texas at Austin, Dell Medical School, Austin, Texas, USA.
Journal of Medical Education and Curricular Development
|June 17, 2024
Summary
Experiential learning theory effectively enhances resident systems-thinking in quality improvement (QI) education. This approach transforms medical residents into better problem-solvers by fostering a deeper understanding of healthcare systems.
Area of Science:
- Medical Education
- Health Systems Science
- Quality Improvement
Background:
- Health Systems Science (HSS) is the third pillar of medical education, yet learning theories for HSS components like quality improvement/patient safety (QI/PS) are poorly understood.
- Experiential learning theory is frequently cited in QI/PS education, but its specific impact is not well-documented.
Purpose of the Study:
- To investigate the effects of teaching QI using experiential learning theory on residents' systems-thinking skills.
- To assess how this educational approach influences the development of systems-level problem-solving abilities in medical residents.
Main Methods:
- A mixed-methods design was employed, involving 30 residents in a 3-hour QI workshop based on experiential learning theory.
- Systems-thinking was evaluated before and after the workshop through self-reported confidence and qualitative/quantitative analysis of QI plans using QIKAT-R.
Main Results:
- Residents showed a significant increase in self-reported confidence in systems-thinking behaviors post-workshop.
- The odds of QI aim statements focusing on systems-level problems increased significantly (OR 41.4, p=.0001).
- Thematic analysis revealed a shift in residents' thinking from individual attributions to understanding problems within system interactions.
Conclusions:
- Experiential learning theory provides an effective framework for QI education.
- This approach successfully transforms learners into more adept systems-thinkers within healthcare.
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