A longitudinal, experiential quality improvement curriculum meeting ACGME competencies for geriatrics fellows: lessons learned.
Gerontol Geriatr Educ
; 34(4): 372-92, 2013.
Article
in En
| MEDLINE
| ID: mdl-23972275
ABSTRACT
Quality improvement (QI) initiatives are critical in the care of older adults who are more vulnerable to substandard care. QI education meets aspects of core Accreditation Council of Graduate Medical Education competencies and prepares learners for the rising focus on performance measurement in health care. The authors developed, implemented, and evaluated a QI curriculum for geriatrics fellows. The evidence-based curriculum included didactics and a fellow-led QI intervention based on audit and feedback through the Practice Improvement Module in Care of the Vulnerable Elderly. QI knowledge, attitudes, and behaviors were assessed before and after the improvement project. Fellows' knowledge of QI improved (p = .0156), but behavior did not change significantly across a short-term improvement project. A structured focus group with fellows revealed themes of accountability and the importance of interprofessional teamwork in QI. QI education for geriatrics fellows can be feasible, well received, and prepare future physician leaders for patient-centered care, performance measurement, and effecting systems change.
Full text:
1
Database:
MEDLINE
Main subject:
Patient-Centered Care
/
Curriculum
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Education, Medical, Graduate
/
Fellowships and Scholarships
/
Geriatrics
/
Health Services for the Aged
Type of study:
Qualitative_research
Limits:
Adult
/
Aged
/
Humans
Country/Region as subject:
America do norte
Language:
En
Year:
2013
Type:
Article