Journal of General Internal Medicine

, Volume 19, Issue 5, pp 496–500

Teaching and assessing resident competence in practice-based learning and improvement

  • Greg Ogrinc
  • Linda A. Headrick
  • Laura J. Morrison
  • Tina Foster
Innovations In Education And Clinical Practice

DOI: 10.1111/j.1525-1497.2004.30102.x

Cite this article as:
Ogrinc, G., Headrick, L.A., Morrison, L.J. et al. J GEN INTERN MED (2004) 19: 496. doi:10.1111/j.1525-1497.2004.30102.x


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.

Key words

practice-based learning and improvementresident teachingcompetenciesquality improvement

Copyright information

© Society of General Internal Medicine 2004

Authors and Affiliations

  • Greg Ogrinc
    • 1
    • 2
  • Linda A. Headrick
    • 3
    • 4
  • Laura J. Morrison
    • 4
    • 5
  • Tina Foster
    • 6
  1. 1.the Departments of Medicine and Community and Family MedicineDartmouth Medical SchoolHanover
  2. 2.VA Medical CenterWhite River Junction
  3. 3.Department of Medicine, School of MedicineUniversity of MissouriColumbia
  4. 4.Department of Medicine, Center for Healthcare Research and Policy, MetroHealth Medical CenterCase Western Reserve University School of MedicineCleveland
  5. 5.Department Medicine, Section of GeriatricsBaylor College of MedicineHouston
  6. 6.Departments of Obstetrics and Gynecology and Community and Family MedicineDartmouth-Hitchcock Medical CenterLebanon
  7. 7.White River Junction VA Hospital, 11QWhite River Junction