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Teaching and Assessing Resident Competence in Practice-based Learning and Improvement
Authors:Greg Ogrinc  MD  MS    Linda A. Headrick  MD  MS    Laura J. Morrison  MD    Tina Foster  MD  MPH  MS
Abstract:We designed, implemented, and evaluated a 4-week practice-based learning and improvement (PBLI) elective. Eleven internal medicine residents from 2 separate residency programs participated in the PBLI elective and 22 other residents comprised a comparison group. Residents in each group had similar pretest Quality Improvement Knowledge Application Tool scores; but after the PBLI elective, participant scores were significantly higher. Also, participants' self-assessed ratings of PBLI skills increased after the rotation and remained elevated 6 months afterward. In this curriculum, residents completed a project to improve patient care and demonstrated their knowledge on an evaluation tool in a way that was superior to nonparticipants.
Keywords:practice-based learning and improvement    resident teaching    competencies    quality improvement
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