The Quality Improvement Environment: Results of the 2016 AAHPM/HPNA Membership Needs Assessment Survey

This needs assessment survey of physical medicine and rehabilitation (PM&R) program directors (PDs) from Accreditation Council for Graduate Medical Education–accredited programs aimed to (1) describe current quality improvement (QI) training, (2) characterize PDs’ perceptions of their own and their faculty’s QI knowledge and skill, and (3) determine PDs’ opinions of optimal QI training to inform the development of a future QI curriculum. Descriptive statistics were used for data analysis. Forty-five percent of PDs (35/78) responded. All programs had QI education and required QI project participation; however, the quantity and types of learning experiences varied greatly. PDs assessed their ability as less than proficient to teach QI (67%) and lead a project (57%), and rated 60% of their faculty as having novice or advanced beginner QI skills. PDs reported 31% of graduating residents had less than competent QI skills. Almost all PDs were interested in a standardized QI curriculum.

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Development and implementation of a postgraduate medical education-wide initiative in quality improvement and patient safety

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2021-140261 ◽

2021 ◽

pp. postgradmedj-2021-140261

Author(s):

David Bowes ◽

Cindy Shearer ◽

Trisha Daigle-Maloney ◽

John Dornan ◽

Andrew Lynk ◽

...

Keyword(s):

Medical Education ◽

Patient Safety ◽

Quality Improvement ◽

Needs Assessment ◽

Task Force ◽

Postgraduate Medical Education ◽

Task Force Report ◽

Road Map ◽

Assessment Survey ◽

Needs Assessment Survey

BackgroundQuality improvement and patient safety (QIPS) have been assigned a higher profile in CanMEDS 2015, CanMEDS–Family Medicine 2017 and new accreditation standards, prompting an initiative at Dalhousie University to create a vision for integrating QIPS into postgraduate medical education.ObjectiveThe purpose of this study is to describe the implementation of a QIPS strategy across residency education at Dalhousie University.MethodsA QIPS task force was formed, and a literature review and needs assessment survey were completed. A needs assessment survey was distributed to all Dalhousie residency programme directors. 12 programme directors were interviewed individually to collect additional feedback. The results were used to develop a ‘road map’ of recommendations with a graduated timeline.ResultsA task force report was released in February 2018. 46 recommendations were developed with a timeframe and responsible party identified for each. Implementation of the QIPS strategy is underway, and evaluation and challenges faced will be described.ConclusionsWe have developed a multiyear strategy that is available to provide guidance and support to all programmes in QIPS. The development and implementation of this QIPS framework may serve as a template for other institutions who seek to integrate these competencies into residency training.

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