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Empowering Residents in Community-based Internal Medicine Programs: A Structured Framework Integrating Simulation

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Summary
This summary is machine-generated.

A quality initiative improved internal medicine resident education in community hospitals. Key interventions enhanced clinical competency, patient communication, and overall well-being, demonstrating a positive impact on resident training.

Keywords:
Community based internal medicine programGMEIn training assessmentInnovation in medical educationProcedural skillsSimulation-based training

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Area of Science:

  • Medical Education
  • Internal Medicine Residency Training
  • Quality Improvement in Healthcare

Background:

  • Community-based internal medicine residencies are vital for underserved areas, training nearly half of U.S. residents.
  • These programs often experience educational limitations due to resource constraints and fewer training opportunities.
  • Addressing these gaps is crucial for maintaining high standards in primary care.

Purpose of the Study:

  • To implement and evaluate a comprehensive 12-month quality initiative for internal medicine residents at a community hospital.
  • To enhance clinical competency, board readiness, communication skills, and resident well-being.
  • To assess the impact of novel educational strategies on resident performance and satisfaction.

Main Methods:

  • A 12-month quality initiative involving 27 residents at a community hospital.
  • Integration of high-fidelity simulation drills, gamified didactics, enhanced orientation, research education, wellness programs, and AI-driven feedback.
  • Interventions were implemented alongside existing educational activities.

Main Results:

  • Mean In-Training Examination (ITE) scores increased significantly (p = 0.025), with an 11.8-point rise in percentile rank.
  • Patient communication scores (CAHPS) improved from the 66th to the 97th percentile (p < 0.05).
  • Resident satisfaction scores (ACGME survey) rose from 70% to 84%, with high reported usefulness of simulation and wellness initiatives.

Conclusions:

  • The quality initiative successfully enhanced key educational outcomes for internal medicine residents in a community setting.
  • Simulation, gamified learning, and wellness support were highly valued by residents.
  • Sustained impact requires ongoing leadership commitment and integration into graduate medical education (GME).