Integrating Practice-Based Learning and Improvement into Medical Student Learning: Evaluating Complex Curricular Innovations
Teaching and Learning in MedicinePublished 19 June 2007
Greg Ogrinc, Alan N. West, Marianne Eliassen, Stephen Liuw, Jennifer S. Schiffman, Nan Cochran
Citations31
SJR quartileQ1
SJR score0.95
SNIP1.48
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
The intervention effectively taught the basics of PBLI but did not integrate well into the core curriculum and the time cost required to implement the module was excessive.
Abstract
The intervention effectively taught the basics of PBLI but did not integrate well into the core curriculum. Our multifaceted evaluation approach allowed us to amplify aspects of the intervention that worked well and discard those that did not.
Keywords
MedicineHealth Professions
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
Quality Management JournalThe Improvement Guide: A Practical Approach to Enhancing Organizational Performance
2,916 Citations1997
The slogan for quality improvement is, simply, “all improvements involve changes but not all changes are improvements,” and ENM employs this model and method to teach providers in SBHCs to identify practice changes that will lead to improved patient care and help reduce health care costs.
BMJCoping with complexity: educating for capability
882 Citations2001Sarah Fraser, Trisha Greenhalgh
Education providers must offer an environment and process that enables individuals to develop sustainable abilities appropriate for a continuously evolving organisation, and focus on process to avoid goals with rigid and prescriptive content.
BMJComplexity, leadership, and management in healthcare organisations
723 Citations2001Paul E. Plsek, Timothy D. Wilson
This article describes applications of complexity thinking in the organisation and management of health care and suggests that relationships between parts are more important than the parts themselves, that minimum specifications yield more creativity than detailed plans.
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.
Journal of General Internal MedicineTeaching and assessing resident competence in practice-based learning and improvement
166 Citations2004Greg Ogrinc, Linda A. Headrick +2 more
A 4-week practice-based learning and improvement elective where residents completed a project to improve patient care and demonstrated their knowledge on an evaluation tool in a way that was superior to nonparticipants.
Academic MedicineTeaching and Improving Quality of Care in a Primary Care Internal Medicine Residency Clinic
100 Citations2005Eric S. Holmboe, Leslie Prince +1 more
A multifaceted curriculum in quality improvement led to modest improvements in the care of diabetic patients and meaningful changes in self-reported practice behaviors and personal commitments to change were either partially or fully implemented six months after the curriculum.
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.
Academic MedicineA Continuous Quality Improvement Curriculum for Residents: Addressing Core Competency, Improving Systems
86 Citations2004Alexander M. Djuricich, Mary Ciccarelli +1 more
Journal of General Internal MedicineCreating a quality improvement elective for medical house officers
82 Citations2004Saul N. Weingart, Anjala Tess +3 more
A 3-week elective for medical house officers in quality improvement (QI) was developed to enhance residents’ understanding of QI concepts, their familiarity with the hospital’s QI infrastructure, and to gain practical experience with root-cause analysis and QI initiatives.
American Journal of Physical Medicine & RehabilitationEvaluation of Competency
64 Citations2000David C. Leach
Quality Management in Health CareCollaborating for Improvement in Health Professions Education
55 Citations1998G. Ross Baker, Sherril B. Gelmon +5 more
The lessons learned by teams working in an Interdisciplinary Professional Education Collaborative in overcoming barriers to carrying out continual improvement efforts in these educational organizations are identified.
The Joint Commission Journal on Quality ImprovementWorking from Upstream to Improve Health Care: The IHI Interdisciplinary Professional Education Collaborative
49 Citations1996Linda A. Headrick, Marian Knapp +5 more
This article describes the first year of the Interdisciplinary Professional Education Collaborative, a three-year project to improve health care by working from upstream to address the health professions workforce changes demanded by the need to deliver better care at a lower cost.
Academic MedicineUsing Early Clinical Experiences to Integrate Quality-improvement Learning into Medical Education
46 Citations2000William B. Weeks, Jamie L. Robinson +2 more
Dartmouth Medical School created a model two-pronged program for teaching quality improvement to its medical students to provide students with an active learning experience as well as an education in the theory and application of continuous quality improvement.
Academic MedicineDevelopment of a Handheld Computer Documentation System to Enhance an Integrated Primary Care Clerkship
33 Citations2002Catherine Florio Pipas, Patricia A. Carney +8 more
It is concluded that a comprehensive documentation and feedback system provides an essential infrastructure for the evaluation and enhancement of community-based teaching and learning in primary care ambulatory clerkships, whether separate or integrated.
Academic MedicineThe Influence of Teaching Setting on Medical Students??? Clinical Skills Development: Is the Academic Medical Center the ???Gold Standard????
31 Citations2005Patricia A. Carney, Greg Ogrinc +3 more
Students’ early clinical skill development is not influenced by educational setting, and using clinicians for early clinical training in any of these settings is appropriate.
Academic MedicineCourse-based assessment
30 Citations1998Sarah Stone, Donna M. Qualters
Six principles of effective outcome assessment in medical education are presented and illustrated from the authors' experience of using this type of assessment in a pre-clinical course integrating basic science, social science, and clinical skills.
Academic MedicineUnderstanding the value added to clinical care by educational activities. Value of Education Research Group
26 Citations1999Greg Ogrinc, Linda A. Headrick +1 more
The authors report on their 1998 project to develop a conceptual model for assessing the value added to clinical care by educational activities, which was critiqued at a national conference on the topic of education's value in clinical care.
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.
Academic MedicineA Web-Based System for Students to Document Their Experiences within Six Core Competency Domains during all Clinical Clerkships
21 Citations2006David W. Nierenberg, Marianne Eliassen +5 more
The authors describe the design and implementation of a new Web-based system that allows students to record important features of their clinical encounters during all 10 required clinical clerkships, document their learning experiences in six major competency domains, and generate detailed real-time reports for themselves and their clerkship directors.
Journal of Interprofessional CareWhat faculty need to learn about improvement and how to teach it to others
21 Citations2000G. Dean Cleghórn, ROSS BAKER
The paper outlines an improvement 'theory' and illustrates some ways it has been taught and learned by 10 interdisciplinary groups of faculty and students over the past 6 years.
Quality Management in Health CareStudents Add Value to Learning Organizations
17 Citations1998Alexander W. Chessman, Janis P. Bellack +5 more
As students learn how to apply the principles and methods of continuous improvement, they help improve both the quality of health care and the organization's way of improving quality.
Academic MedicineExploring and Embracing Complexity in a Distance-learning Curriculum for Physicians
13 Citations2003Greg Ogrinc, Mark E. Splaine +3 more
Along the journey from a classroom-based curriculum to an IV- based curriculum, the authors and others involved in the program learned the basic tenets of IV sessions, redefined the roles of the teachers and learners, and discovered an IV environment that functions as a complex adaptive learning system.
The Joint Commission Journal on Quality ImprovementContinuous Quality Improvement and Knowledge for Improvement Applied to Asthma Care
12 Citations1994Linda A. Headrick, William Katcher +2 more
Although more than one half of the causes of asthma variation reported in this study fall outside traditional professional knowledge, most of the content of health professions education still falls within the professional realm.
Journal of General Internal MedicineComparing ambulatory preceptors’ and students’ perceptions of educational planning
11 Citations1999Donna M. Qualters, Mary Regan +2 more
Ambulatory preceptors’ and students’ perceptions of the use of educational planning in the office setting did not match student perceptions of what occurred in the longitudinal preceptor program teaching sessions in educational planning areas.
Teaching and Learning in MedicinePreclinical Preceptorships in Medical School: Can Curricular Objectives Be Met in Diverse Teaching Settings?
8 Citations2006Greg Ogrinc, Marianne Eliassen +5 more
Knowing what students experience at their preceptor sites is vital for clinical skills course evaluation and student-preceptor-patient encounter data should be used to complement other course evaluations to aid curriculum planning and decrease variability in student experiences.
