从理论到实践:为精神病学住院医生开发和评估质量改善课程
Aditya Nidumolu1, David Freedman2, Mark Bosma1
1Department of Psychiatry, Dalhousie University, Canada.
Journal of medical education and curricular development
|February 2, 2024
概括
针对加拿大精神病学居民的新质量改善 (QI) 课程显著提高了他们对QI的知识和态度. 这种方法为开发有效的QI教育计划提供了一个可复制的模型.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 精神病学培训 精神病学培训
背景情况:
- 质量改进 (QI) 在医疗保健中至关重要,监管机构越来越多地要求在住院计划中提供QI教育.
- 为居民设计有效的QI课程是一个挑战,对整合最佳实践的指导有限.
- 本研究探讨了在精神病学实习中对QI教育的结构化方法的需要.
研究的目的:
- 描述一个新的QI课程的实施和评估,为加拿大精神病学居民.
- 评估课程对居民对QI知识和态度的影响.
- 为开发和增强QI教育计划提供可复制的模型.
主要方法:
- 一个为期2.5小时的混合教学和基于模拟的QI研讨会被交付给了PGY-2和PGY-4精神病学住院医生.
- 对智商的知识和态度是使用智商知识应用工具修订 (QIKAT-R) 和对智商的信念,态度,技能和信心 (BASiC-QI) 的信念和态度子级别来衡量的.
- 从完成2021-2022学年课程的居民收集数据.
主要成果:
- 参与率很高 (92%),12名居民中有11人完成了这项研究.
- 平均QIKAT-R得分有显著改善,从4.45增加到7.00.
- 居民在BASiC-QI信念和态度分量表中提高了5.55分,报告了对QI项目更大的乐趣和兴趣.
结论:
- 基于程序理论的方法可以有效地指导本地定制的QI课程的开发.
- 实施的QI课程在增强居民知识和积极态度方面取得了成功.
- 这种模式可以复制为其他机构寻求开发或完善他们的智商教育计划.
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