Abstract:
CONTEXT:The explicit, intentional and systematic application of continuous quality improvement (QI) in medical education practice and research can improve medical education and help it achieve its goals. Quality improvement and medical education share a foundation centred on learning-experiencing, reflecting, thinking and acting in continuous cycles that spiral to sustained advancement. This suggests that a QI mindset can be brought to bear on various aspects of medical education research and practice. DISCUSSION:To explore this possibility, we turn to W. Edwards Deming's System of Profound Knowledge, widely regarded as one of the foundational frameworks in quality improvement, where he argues strongly that there are four highly interrelated elements that are required for improvement: Appreciation of a System, Theory of Knowledge, Knowledge about Variation and Knowledge of Psychology. In this article, we define and explore each of the four domains and their application in medical education, highlighting both opportunities and challenges. CONCLUSION:Medical educators who utilise QI in their educational practices can help create learning environments that imprint positively on learners and contribute to better outcomes in their clinical learning environments. We provide recommendations for how educators' informed use of QI can improve medical education and help it achieve its ultimate goal of improved health and health care.
journal_name
Med Educjournal_title
Medical educationauthors
Wong BM,Headrick LAdoi
10.1111/medu.14351subject
Has Abstractpub_date
2021-01-01 00:00:00pages
72-81issue
1eissn
0308-0110issn
1365-2923journal_volume
55pub_type
杂志文章abstract:CONTEXT:Widening access to higher education is a political priority. Social trends among medical school applicants are presently monitored using information on parental occupation. However, not all students now provide this information on their university application forms. OBJECTIVES:To compare the demographic charac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02535.x
更新日期:2006-08-01 00:00:00
abstract:CONTEXT:An important part of a doctor's identity is the social position he or she adopts relative to patients. Dialogic theory predicts that medical school discourses influence the positions students incorporate into their professional identities. As this may affect how students later exercise power in doctor-patient r...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14074
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVES:Internationally, there are a number of universities at which medical and dental education programmes share common elements. There are no studies about the experiences of medical and dental students enrolled in different programmes who share significant amounts of learning and teaching. METHODS:Semi-structur...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03280.x
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Patients in inner-city areas come from increasingly diverse language and cultural backgrounds. Neither communications training modelled on local English speakers nor the provision of interpreters offer adequate solutions. AIM:To identify how patients with limited English and culturally different communicati...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2929.2005.02121.x
更新日期:2005-05-01 00:00:00
abstract:CONTEXT:The unbiased selection of images representing a spectrum of diagnostic difficulty is an important first step in designing effective assessment and teaching interventions for X-ray interpretation. OBJECTIVES:This study aimed to develop a scale that would reliably differentiate more difficult X-rays from those t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03311.x
更新日期:2009-05-01 00:00:00
abstract:CONTEXT: Little is known about health professionals' responses to acute stressors encountered in the clinical environment. The goal of this study was to measure the subjective and physiological stress responses of medical students to consultations in familiar (in-hospital) and unfamiliar (ambulatory) settings. We hypot...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.03935.x
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Since the introduction of problem-based learning (PBL) at McMaster University in 1969, many medical schools in the USA, Canada and Europe have included PBL in their curricula. In the past decade, many medical schools in Asia have also done so. However, so far no one has questioned whether the outcomes expect...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01489.x
更新日期:2003-05-01 00:00:00
abstract::This study set out to determine the long-term benefits of teaching psychiatric interview skills. Nine established general practitioners, eight of whom were also trainers, took part some 18 months after attending a problem-based interviewing course. Interview skills were assessed by rating behaviour during 10-minute vi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00125.x
更新日期:1992-01-01 00:00:00
abstract::The records of 62 men and 43 women, 14-88 years old, admitted to general medical wards in a public teaching hospital during 1991 were examined for discharge medications and for the recording of alcohol-drinking, tobacco-smoking and discharge diagnosis. Drinking and smoking status was unrecorded in 22.9% and 21.9% of p...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00313.x
更新日期:1993-11-01 00:00:00
abstract:CONTEXT:Despite increasing numbers of publications, science often fails to significantly improve patient care. Clinician-scientists, professionals who combine care and research activities, play an important role in helping to solve this problem. However, despite the ascribed advantages of connecting scientific knowledg...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13241
更新日期:2017-06-01 00:00:00
abstract:CONTEXT:Simulated patients (SPs) are extensively used in the teaching of medical communication, both for students and doctors. They occupy a unique middle ground between patients and physicians: although free from the prejudices that medical training brings, they work closely with clinical tutors to promote the princip...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13547
更新日期:2018-06-01 00:00:00
abstract:CONTEXT:Near-peer and faculty staff tutors may facilitate problem-based learning (PBL) through different means. Near-peer tutors are thought to compensate for their lack of subject matter expertise with greater adeptness at group facilitation and a better understanding of their learners. However, theoretical explanatio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12969
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION:Medical students' personal and professional behaviours have been assessed poorly in medical schools. No research exists exploring the acceptability of 360-degree judgements as a method of assessing such behaviours. This study aims to explore students' and assessors' views and experiences of 360-degree judg...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02032.x
更新日期:2005-01-01 00:00:00
abstract:CONTEXT:Effective communication skills are at the core of good health care. Simulated patients (SPs) are increasingly engaged as an interactive means of teaching, applying and practising communication skills with immediate feedback. There is a large body of research into the use of manikin-based simulation but a gap ex...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13387
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:These were to measure the uptake and use of an electronic learning portfolio to support reflective continuing professional development, and to characterize attitudes towards its use and obstacles to its adoption. DESIGN:Uncontrolled, longitudinal intervention study with quantitative and qualitative evaluati...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01278.x
更新日期:2002-08-01 00:00:00
abstract:CONTEXT:Understanding self-regulated learning (SRL) is complicated due to the different measures used to identify the key SRL processes. There is a growing trend in applying event measures of SRL (microanalysis and trace) but aptitude measures (questionnaires) continue to be widely used in medical education. A major co...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14079
更新日期:2020-08-01 00:00:00
abstract:AIMS:This paper describes the process of validating the Readiness for Interprofessional Learning Scale (RIPLS) for use with postgraduate health care professionals. CONTEXT:The RIPLS questionnaire has proved useful in the undergraduate context, enabling tutors to assess the readiness of students to engage in interprofe...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02442.x
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:Homeless people have greater health care needs than those who are housed, yet often experience difficulty in accessing health care. Evidence suggests that the attitudes of doctors can create significant barriers to health care for homeless people. METHODS:A validated structured questionnaire, the Attitudes ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01625.x
更新日期:2003-10-01 00:00:00
abstract::The General Medical Council's document 'Tomorrow's Doctors' (1993, GMC, London) recommended major changes in the undergraduate curricula of UK medical schools. In Nottingham, the fourth-year psychiatric attachment became shorter in duration, and interactive, problem-oriented, workshop-based learning replaced lectures....
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00162.x
更新日期:1998-03-01 00:00:00
abstract:CONTEXT AND OBJECTIVES:To describe the Computerized Obstetrics and Gynecology Automated Learning Anaalysis (KOALAtrade mark), a multicentre, Internet-based learning portfolio and to determine its effects on residents' perception of their self-directed learning abilities. METHODS:The KOALA programme allows residents to...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00571.x
更新日期:2000-06-01 00:00:00
abstract::By providing injecting equipment to drug misusers, community pharmacists in the UK may become involved in preventing the spread of HIV via the intravenous route. Over 60% of pharmacy graduates from the School of Pharmacy enter community pharmacy and, as part of their undergraduate course, attend a series of lectures a...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02725.x
更新日期:1994-11-01 00:00:00
abstract:INTRODUCTION:The supervision of medical residents is a key responsibility of attending doctors in the clinical setting. Most attending doctors, however, are unfamiliar with the principles of effective supervision. Although inconsistent, supervision has been shown to be both important and effective for the professional ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02190.x
更新日期:2005-07-01 00:00:00
abstract::The undergraduate teaching of childhood illness in the community is described. This teaching includes a cross-section of acute childhood illness together with some contact with handicapped children in their own homes. Although there were only four teaching sessions, the frequency of conditions studied approximated to ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1977.tb00575.x
更新日期:1977-03-01 00:00:00
abstract::In Europe, tropical pathology is usually taught in special short courses, intended for those planning to practise in developing countries. The theoretical knowledge to be assimilated during this short period is considerable, and turning such newly acquired knowledge into competence is difficult. Kabisa is a computer-b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02568.x
更新日期:1997-05-01 00:00:00
abstract:CONTEXT:Academic journals represent shared spaces wherein the significance of thematic areas, methodologies and paradigms are debated and shaped through collective engagement. By studying journals in their historical and cultural contexts, the academic community can gain insight into the ways in which authors and audie...
journal_title:Medical education
pub_type: 历史文章,杂志文章,评审
doi:10.1111/medu.13349
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:This article explores the concept of resilience and its potential relevance to medicine. It also looks at the dimensions of resilience and its ethical importance for effective professional practice, and considers whether a focus on resilience might be useful in medical training. METHODS:An applied literatur...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2011.04188.x
更新日期:2012-04-01 00:00:00
abstract:CONTEXT:Intraprofessional collaboration (intraPC) between primary care (PC) doctors and medical specialists (MSs) is becoming increasingly important. Patient safety issues are often related to intraPC. In order to equip doctors well for their task of providing good quality and continuity of care, intraPC needs explicit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14279
更新日期:2020-12-01 00:00:00
abstract:CONTEXT:Medical schools in Western societies seek measures to increase the diversity of their student bodies with respect to ethnicity and social background. Currently, little is known about the effects of different selection procedures on student diversity. OBJECTIVES:This prospective cohort study aimed to determine ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12536
更新日期:2015-01-01 00:00:00
abstract::The major focus in the selection of entrants for medical school has traditionally been on academic achievement in school-leaving examinations in which certain science subjects are a requirement. A longitudinal study of 413 successful applicants was undertaken to determine the relationship of these admission criteria t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02795.x
更新日期:1995-01-01 00:00:00
abstract:CONTEXT:The occupational health literature has long been dominated by stress-related topics. A more contemporary perspective suggests using a positive approach in the form of a health model focused on what is right with people, such as feelings of well-being and satisfaction. OBJECTIVES:Using a positive perspective an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.03985.x
更新日期:2011-08-01 00:00:00