Innovations in Education

Journal of General Internal Medicine

, Volume 23, Issue 7, pp 927-930

Teaching Internal Medicine Residents Quality Improvement Techniques using the ABIM’s Practice Improvement Modules

  • Julie OylerAffiliated withDepartment of General Internal Medicine, University of Chicago Email author 
  • , Lisa VinciAffiliated withDepartment of General Internal Medicine, University of Chicago
  • , Vineet AroraAffiliated withDepartment of General Internal Medicine, University of Chicago
  • , Julie JohnsonAffiliated withDepartment of General Internal Medicine, University of Chicago

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Summary

Introduction/aim

Standard curricula to teach Internal Medicine residents about quality assessment and improvement, important components of the Accreditation Council for Graduate Medical Education core competencies practiced-based learning and improvement (PBLI) and systems-based practice (SBP), have not been easily accessible.

Program description

Using the American Board of Internal Medicine’s (ABIM) Clinical Preventative Services Practice Improvement Module (CPS PIM), we have incorporated a longitudinal quality assessment and improvement curriculum (QAIC) into the 2 required 1-month ambulatory rotations during the postgraduate year 2. During the first block, residents complete the PIM chart reviews, patient, and system surveys. The second block includes resident reflection using PIM data and the group performing a small test of change using the Plan–Do–Study–Act (PDSA) cycle in the resident continuity clinic.

Program Evaluation

To date, 3 resident quality improvement (QI) projects have been undertaken as a result of QAIC, each making significant improvements in the residents’ continuity clinic. Resident confidence levels in QI skills (e.g., writing an aim statement [71% to 96%, P < .01] and using a PDSA cycle [9% to 89%, P < .001]) improved significantly.

Discussion

The ABIM CPS PIM can be used by Internal Medicine residency programs to introduce QI concepts into their residents’ outpatient practice through encouraging practice-based learning and improvement and systems-based practice.

Key Words

Internal Medicine residents quality improvement practiced-based learning and improvement systems-based practice practice improvement module