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Effectiveness of a quality improvement curriculum for medical students

机译：医学生质量改进课程的有效性

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IntroductionAs health systems find ways to improve quality of care, medical training programs are finding opportunities to prepare learners on principles of quality improvement (QI). The impact of QI curricula for medical students as measured by student learning is not well delineated. The aim of this study is to evaluate the effectiveness of a QI curriculum for senior medical students as measured by student knowledge and skills.MethodsThis study was an observational study that involved a self-assessment and post-test Quality Improvement Knowledge Application Tool (QIKAT) for intervention and control students. A QI curriculum consisting of online modules, live discussions, independent readings and reflective writing, and participation in a mentored QI project was offered to fourth-year medical students completing an honor's elective (intervention group). Senior medical students who received the standard QI curriculum only were recruited as controls.ResultsA total of 22 intervention students and 12 control students completed the self-assessment and QIKAT. At baseline, there was no difference between groups in self-reported prior exposure to QI principles. Students in the intervention group reported more comfort with their skills in QI overall and in 9 of the 12 domains (p0.05). Additionally, intervention students performed better in each of the three case scenarios (p0.01).DiscussionA brief QI curriculum for senior medical students results in improved comfort and knowledge with QI principles. The strengths of our curriculum include effective use of classroom time and faculty mentorship with reliance on pre-existing online modules and written resources. Additionally, the curriculum is easily expandable to larger groups of students and transferable to other institutions.
机译：简介随着卫生系统找到改善护理质量的方法，医学培训计划正在寻找机会使学习者根据质量改善（QI）原则做好准备。通过学生学习来衡量的QI课程对医学生的影响尚未得到很好的描述。这项研究的目的是通过学生的知识和技能来评估针对高级医学生的QI课程的有效性。方法该研究是一项观察性研究，涉及自我评估和测试后质量改进知识应用工具（QIKAT）用于干预和控制学生。为四年级医学生提供了由在线模块，现场讨论，独立阅读和反思写作以及参与指导的QI项目组成的QI课程，以完成荣誉选修课（干预小组）。仅接受标准QI课程的高级医学生作为对照。结果共有22名干预学生和12名对照学生完成了自我评估和QIKAT。基线时，自我报告的先前接触QI原则的人群之间没有差异。干预组的学生报告说，他们对整体QI和12个领域中的9个领域的QI技能更加满意（p <0.05）。此外，干预学生在这三种情况下均表现更好（p <0.01）。讨论针对高级医学生的简短QI课程可提高对QI原理的舒适度和知识。我们课程的优势包括有效利用课堂时间和教师指导，依靠预先存在的在线模块和书面资源。此外，该课程可轻松扩展到更大的学生群体，并可以转移到其他机构。

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