Educating to Improve Patient Care: Integrating Quality Improvement Into a Medical School Curriculum
American Journal of Medical QualityPublished 1 March 2007
Prathibha Varkey
Citations34
SJR quartileQ3
SJR score0.52
SNIP0.51
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A longitudinal curriculum on quality improvement that was integrated into the existing curriculum at Mayo Medical School, from years I through IV, through collaboration with 13 different course and clerkship directors is described.
Abstract
A curriculum focused on disease and the management of disease is no longer adequate for training physicians who are expected to practice in an environment where medical errors, system shortcomings, and physician and practice scorecards are the norm. This article describes a longitudinal curriculum on quality improvement that was integrated into the existing curriculum at Mayo Medical School, from years I through IV, through collaboration with 13 different course and clerkship directors. The curriculum is being taught through exercise-based discussions, video sessions followed by debriefing, simulations, case-based discussions, and lectures. This curriculum prepares physicians in training to be knowledgeable about common systems issues and medical errors in clinical practice and has the potential for application in undergraduate medical education.
Keywords
MedicineHealth Professions
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
BMJCrossing the Quality Chasm: A New Health System for the 21st Century
10,744 Citations2001Alexi Baker
Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Journal for Healthcare QualityCrossing the Quality Chasm: A New Health System for the 21st Century
8,568 Citations2002Committee on Quality of Health Care in America
JAMADefining and Assessing Professional Competence
3,027 Citations2002Ronald M. Epstein
An inclusive definition of competence is generated: the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice for the benefit of the individual and the community being served.
Academic MedicineA Framework for Teaching Medical Students and Residents about Practice-based Learning and Improvement, Synthesized from a Literature Review
197 Citations2003Greg Ogrinc, Linda A. Headrick +4 more
A framework of learning objectives is presented—informed by the literature and synthesized by the expert panel—to assist educational leaders when integrating these objectives into a curriculum to bridge the gap between current knowledge and future practice needs.
BMJ Quality & SafetyEducating physicians prepared to improve care and safety is no accident: it requires a systematic approach
136 Citations2002David C. Aron
A systems analysis from the field of human error is applied to identify ways in which medical school education can increase the number of graduates prepared to reflect on and improve professional practice.
Annals of Internal MedicineUnderstanding Medical Systems
135 Citations1998Thomas Nolan
The nature of medical systems is explored and how the understanding of systems can properly be applied to medicine and the activities of physicians is explored.
Academic MedicineHealth Care Quality and How to Achieve It
123 Citations2002Kenneth I. Shine
Since 20 conditions account for 80% of America's health care costs, the author recommends that a special focus be placed upon 15 of these conditions to systematically improve the quality of care over the next five years.
Academic MedicineImproving Patient Care Outcomes by Teaching Quality Improvement to Medical Students in Community-based Practices
91 Citations2002Bruce Gould, Michael Grey +11 more
Medical student—driven CQI projects can improve the quality of care for diabetes at practices in which the students participate while introducing them and their preceptors to the process of quality measurement and improvement.
American Journal of Medical QualityAn Experiential Interdisciplinary Quality Improvement Education Initiative
58 Citations2006Prathibha Varkey, M. Katherine Reller +3 more
Although this pilot supports the feasibility and potential benefits of interdisciplinary quality improvement education, further research is necessary to explore strategies to implement the same on a larger scale, and to examine the impact on patient outcomes.
The Joint Commission Journal on Quality and Patient SafetyThe Objective Structured Clinical Examination as an Educational Tool in Patient Safety
28 Citations2007Prathibha Varkey, Neena Natt
This pilot study demonstrates the potential use of the OSCE as an assessment and educational tool in QI and patient safety and provides an opportunity for the assessment of situational awareness and response, as well as formative and summative feedback to students.
The Joint Commission Journal on Quality ImprovementA Quality Improvement Curriculum for Medical Students
25 Citations2002Eric Henley
A curriculum in QI that involved active learning strategies was successfully implemented during a family medicine clerkship and students viewed the curriculum as being appropriate to their learning.
PubMedTeaching quality measurement and improvement, cost-effectiveness, and patient satisfaction in undergraduate medical education: the UME-21 experience.
17 Citations2004Bruce Gould, Mark T. O’Connell +3 more
Curriculum development and implementation addressing quality improvement in medical practice accelerate improvement of students' perception that their education has adequately addressed this subject area.
Health Professions Education
10 Citations2023Michael L. Rowland