Utilizing Practice-Based Research Networks to Teach and Implement Quality Improvement in Academic Medicine.

Abstract:

BACKGROUND AND OBJECTIVES:A 2019 study found that between 2014 and 2017, family medicine residents had little improvement in self-assessed preparedness to lead quality improvement projects. This study explored the effectiveness of leveraging a practice-based research network (PBRN) across multiple family medicine residencies not only for implementing quality improvement projects, but also as a teaching tool designed to improve knowledge, attitudes, beliefs, and leadership skills in family medicine faculty and residents. METHODS:Residents in family medicine residency programs and one community internal medicine program and family medicine teaching faculty participated in a PBRN-led quality improvement project (QIP) to improve colon cancer screening in their clinic. Of 101 participants, 79 (78%) were residents and 22 (22%) were faculty or attending physicians. Questions surveying participants' knowledge and confidence related to QIP before and after the QIP were given. RESULTS:Overall, participants reported an improvement in their basic understanding of QI concepts (P=.004). They also reported having sufficient staff and ancillary support to meaningfully participate (P=.033). Participants indicated they had more confidence in their ability to participate in a QI project (P=.002), initiate, design, and lead such a project (P=.001), and teach their peers and staff basic QI concepts (P<.001). CONCLUSIONS:PBRNs appear to be a unique way to subjectively improve residents' confidence in their quality improvement skills. PBRNs should be further explored as a method for educating family medicine residents in quality improvement.

journal_name

Fam Med

journal_title

Family medicine

authors

Hoff C,Caleon L,Lee G,Quan M

doi

10.22454/FamMed.2020.411271

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

642-646

issue

9

eissn

0742-3225

issn

1938-3800

journal_volume

52

pub_type

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