A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.

<h4>Problem</h4>Despite mounting evidence that incorporation of QI curricula into surgical trainee education improves morbidity and outcomes, surgery training programs lack standardized QI curricula and tools to measure QI knowledge. In the current study, we developed, implemented, and e...

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Autores principales:	Vanita Ahuja, Jolanta Gorecka, Peter Yoo, Beth L Emerson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/208e8d2b942c4802ac97971705ad1c05
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spelling	oai:doaj.org-article:208e8d2b942c4802ac97971705ad1c052021-12-02T20:06:49ZA longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.1932-620310.1371/journal.pone.0254922https://doaj.org/article/208e8d2b942c4802ac97971705ad1c052021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254922https://doaj.org/toc/1932-6203<h4>Problem</h4>Despite mounting evidence that incorporation of QI curricula into surgical trainee education improves morbidity and outcomes, surgery training programs lack standardized QI curricula and tools to measure QI knowledge. In the current study, we developed, implemented, and evaluated a quality improvement curriculum for surgical residents.<h4>Intervention</h4>Surgical trainees participated in a longitudinal, year-long (2019-2020) curriculum based on the Institute for Healthcare Improvement's online program. Online curriculum was supplemented with in person didactics and small group projects. Acquisition of skills was assessed pre- and post- course via self-report on a Likert scale as well as the Quality Improvement Knowledge Application Tool (QIKAT). Self-efficacy scores were assessed using the General Self-Efficacy Scale. 9 out of 18 total course participants completed the post course survey. This first course cohort was analyzed as a pilot for future work.<h4>Context</h4>The project was developed and deployed among surgical residents during their research/lab year. Teams of surgical residents were partnered with a faculty project mentor, as well as non-physician teammates for project work.<h4>Impact</h4>Participation in the QI course significantly increased skills related to studying the process (p = 0.0463), making changes in a system (p = 0.0167), identifying whether a change leads to an improvement (p = 0.0039), using small cycles of change (p = 0.0000), identifying best practices and comparing them to local practices (p = 0.0020), using PDSA model as a systematic framework for trial and learning (p = 0.0004), identifying how data is linked to specific processes (p = 0.0488), and building the next improvement cycle upon success or failure (p = 0.0316). There was also a significant improvement in aim (p = 0.037) and change (p = 0.029) responses to one QIKAT vignette.<h4>Lessons learned</h4>We describe the effectiveness of a pilot longitudinal, multi component QI course based on the IHI online curriculum in improving surgical trainee knowledge and use of key QI skills.Vanita AhujaJolanta GoreckaPeter YooBeth L EmersonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254922 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Vanita Ahuja Jolanta Gorecka Peter Yoo Beth L Emerson A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.
description	<h4>Problem</h4>Despite mounting evidence that incorporation of QI curricula into surgical trainee education improves morbidity and outcomes, surgery training programs lack standardized QI curricula and tools to measure QI knowledge. In the current study, we developed, implemented, and evaluated a quality improvement curriculum for surgical residents.<h4>Intervention</h4>Surgical trainees participated in a longitudinal, year-long (2019-2020) curriculum based on the Institute for Healthcare Improvement's online program. Online curriculum was supplemented with in person didactics and small group projects. Acquisition of skills was assessed pre- and post- course via self-report on a Likert scale as well as the Quality Improvement Knowledge Application Tool (QIKAT). Self-efficacy scores were assessed using the General Self-Efficacy Scale. 9 out of 18 total course participants completed the post course survey. This first course cohort was analyzed as a pilot for future work.<h4>Context</h4>The project was developed and deployed among surgical residents during their research/lab year. Teams of surgical residents were partnered with a faculty project mentor, as well as non-physician teammates for project work.<h4>Impact</h4>Participation in the QI course significantly increased skills related to studying the process (p = 0.0463), making changes in a system (p = 0.0167), identifying whether a change leads to an improvement (p = 0.0039), using small cycles of change (p = 0.0000), identifying best practices and comparing them to local practices (p = 0.0020), using PDSA model as a systematic framework for trial and learning (p = 0.0004), identifying how data is linked to specific processes (p = 0.0488), and building the next improvement cycle upon success or failure (p = 0.0316). There was also a significant improvement in aim (p = 0.037) and change (p = 0.029) responses to one QIKAT vignette.<h4>Lessons learned</h4>We describe the effectiveness of a pilot longitudinal, multi component QI course based on the IHI online curriculum in improving surgical trainee knowledge and use of key QI skills.
format	article
author	Vanita Ahuja Jolanta Gorecka Peter Yoo Beth L Emerson
author_facet	Vanita Ahuja Jolanta Gorecka Peter Yoo Beth L Emerson
author_sort	Vanita Ahuja
title	A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.
title_short	A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.
title_full	A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.
title_fullStr	A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.
title_full_unstemmed	A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.
title_sort	longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/208e8d2b942c4802ac97971705ad1c05
work_keys_str_mv	AT vanitaahuja alongitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills AT jolantagorecka alongitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills AT peteryoo alongitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills AT bethlemerson alongitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills AT vanitaahuja longitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills AT jolantagorecka longitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills AT peteryoo longitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills AT bethlemerson longitudinalcoursepilottoimprovesurgicalresidentacquisitionofqualityimprovementskills
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A longitudinal course pilot to improve surgical resident acquisition of quality improvement skills.

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