AI Article Synopsis

  • The Accreditation Council for Graduate Medical Education (ACGME) requires quality improvement (QI) training for residents to enhance patient safety and efficiency, leading to the development of an enhanced experiential QI curriculum for psychiatry residents.
  • Two groups of 12 third-year residents engaged in a comprehensive curriculum that included lectures, expert guidance, and hands-on project work, resulting in significant improvements in their QI confidence and knowledge, as measured by surveys and assessments.
  • The successful outcomes indicate that the curriculum not only met ACGME requirements but also made QI training relevant and impactful by integrating it into the residents' clinical experiences.

Article Abstract

Objective: The Accreditation Council for Graduate Medical Education (ACGME) mandates resident quality improvement (QI) training to improve patient safety, cost control, and efficiency. Thus, understanding this topic is crucial for early career physicians. This manuscript describes an enhanced, experiential QI curriculum for psychiatry residents and its outcomes.

Methods: Two cohorts of 12 third-year residents completed the curriculum, which included didactics, external resources, and expert guidance through small group project design, implementation, and analysis/presentation. A survey on resident confidence in QI principles and the quality improvement knowledge assessment tool-revised (QIKAT-R) was used before and after curriculum participation. Data were analyzed using parametric descriptive tests and repeated measures general linear models with Benjamini-Hochberg correction for multiple comparisons.

Results: Resident confidence in performing seven of the ten steps of QI and QIKAT-R scores significantly improved for both cohorts (p = .011). Eighty-nine percent of residents felt that the curriculum met their goals.

Conclusions: The QI curriculum effectively improved resident QI confidence and knowledge. Residents reported that experiential engagement in the design, implementation, and analysis/presentation of their project was crucial to these achievements. This experiential QI curriculum with resident-generated QI projects addressed ACGME training requirements while integrating QI training directly into the residents' clinical activities, making the QI efforts relevant and meaningful while also achieving ACGME goals.

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http://dx.doi.org/10.1007/s40596-020-01184-2DOI Listing

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