Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator

Introduction Pediatric residencies are expected to arm trainees with skills in quality improvement (QI) that allow trainees to systematically enhance their own practice. Simulation has been shown to be effective in teaching QI, but there are no published QI simulation tools that target pediatric lea...

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Autores principales:	Celia Greenlaw, Susan Jacob, Christine C. Cheston
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Simulation Quality Improvement Pediatrics Residency Team-Based Learning Case-Based Learning Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/01d4e30c77ae45969de57448876f4523
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spelling	oai:doaj.org-article:01d4e30c77ae45969de57448876f45232021-11-19T14:09:20ZPediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator10.15766/mep_2374-8265.109292374-8265https://doaj.org/article/01d4e30c77ae45969de57448876f45232020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10929https://doaj.org/toc/2374-8265Introduction Pediatric residencies are expected to arm trainees with skills in quality improvement (QI) that allow trainees to systematically enhance their own practice. Simulation has been shown to be effective in teaching QI, but there are no published QI simulation tools that target pediatric learners. Methods We adapted a previously developed QI simulation to include a case relevant for pediatric residents. Participants devised interventions using basic QI principles with iterative feedback from facilitators with knowledge of QI methodology. Changes in resident knowledge, attitudes about the curriculum, and depth of engagement in QI were assessed using pre- and posttests, surveys, and assessment of independent QI activities performed prior to graduation, respectively. Results Eighty-two residents completed the simulation. Of the 76 residents who completed both the pre- and posttests, which each had a total possible score of 28 points, 68% had improved posttest scores, with an average score increase of 2.6 points (SD = 0.6, p < .001). Improvements were most pronounced for residents that scored in the lowest quartile on the pretest. After the simulation, residents reported greater confidence in and likelihood of completing a QI initiative. There was no difference in the level of involvement in future independent QI activities completed by residents who were simulation participants compared with nonparticipants. Discussion Adapting a previously published QI simulation for pediatric residents was feasible and effective, and the QI simulation was well-liked by learners. Those with lower baseline QI knowledge may have the most to gain from this simulation.Celia GreenlawSusan JacobChristine C. ChestonAssociation of American Medical CollegesarticleSimulationQuality ImprovementPediatricsResidencyTeam-Based LearningCase-Based LearningMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Quality Improvement Pediatrics Residency Team-Based Learning Case-Based Learning Medicine (General) R5-920 Education L
spellingShingle	Simulation Quality Improvement Pediatrics Residency Team-Based Learning Case-Based Learning Medicine (General) R5-920 Education L Celia Greenlaw Susan Jacob Christine C. Cheston Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator
description	Introduction Pediatric residencies are expected to arm trainees with skills in quality improvement (QI) that allow trainees to systematically enhance their own practice. Simulation has been shown to be effective in teaching QI, but there are no published QI simulation tools that target pediatric learners. Methods We adapted a previously developed QI simulation to include a case relevant for pediatric residents. Participants devised interventions using basic QI principles with iterative feedback from facilitators with knowledge of QI methodology. Changes in resident knowledge, attitudes about the curriculum, and depth of engagement in QI were assessed using pre- and posttests, surveys, and assessment of independent QI activities performed prior to graduation, respectively. Results Eighty-two residents completed the simulation. Of the 76 residents who completed both the pre- and posttests, which each had a total possible score of 28 points, 68% had improved posttest scores, with an average score increase of 2.6 points (SD = 0.6, p < .001). Improvements were most pronounced for residents that scored in the lowest quartile on the pretest. After the simulation, residents reported greater confidence in and likelihood of completing a QI initiative. There was no difference in the level of involvement in future independent QI activities completed by residents who were simulation participants compared with nonparticipants. Discussion Adapting a previously published QI simulation for pediatric residents was feasible and effective, and the QI simulation was well-liked by learners. Those with lower baseline QI knowledge may have the most to gain from this simulation.
format	article
author	Celia Greenlaw Susan Jacob Christine C. Cheston
author_facet	Celia Greenlaw Susan Jacob Christine C. Cheston
author_sort	Celia Greenlaw
title	Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator
title_short	Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator
title_full	Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator
title_fullStr	Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator
title_full_unstemmed	Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator
title_sort	pediatric quality improvement (qi) virtual practicum: adapting a qi simulator
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/01d4e30c77ae45969de57448876f4523
work_keys_str_mv	AT celiagreenlaw pediatricqualityimprovementqivirtualpracticumadaptingaqisimulator AT susanjacob pediatricqualityimprovementqivirtualpracticumadaptingaqisimulator AT christineccheston pediatricqualityimprovementqivirtualpracticumadaptingaqisimulator
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Pediatric Quality Improvement (QI) Virtual Practicum: Adapting a QI Simulator

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