, Volume 19, Issue 5, pp 496-500

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

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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.

This material is based upon work supported by the Office of Academic Affiliations, Department of Veterans Affairs. Drs. Ogrinc and Foster were fellows in the VA National Quality Scholars Program.
The opinions and findings contained herein are those of the authors and do not necessarily represent the opinions or policies of the Department of Veterans Affairs or Dartmouth Medical School.