Abstract
Ensuring patient health and safety is one of the main goals of continuing professional development (CPD) and quality assurance (QA) departments. Many models of integration have been developed as an effort to maximise outcomes and connect both departments through this common goal of patient safety and quality of patient care. Yet little research has been conducted on the integration of both departments in different healthcare settings. This study explored the perspectives of leaders (N = 12) in healthcare settings regarding the current state of collaboration and gaps between CPD and QA. In this descriptive study, data was collected through in-depth, semi-structured interviews guided by directive prompts. Questions were selected to identify healthcare leaders’ perspectives on the relationship between CPD and QA in their settings. All recorded interviews were transcribed verbatim. An inductive analytical approach was applied for thematic analysis of transcripts. The results demonstrated the participants’ understanding of collaboration processes between CPD and QA. Currently, the only shared goal reported was that CPD teams should provide logistical support to QA teams. Several other factors of collaboration were lacking, reinforcing the need for more efforts to integrate both departments. This study identified a lack of integration between CPD and QA departments but provided evidence of the existence of a basic level of collaboration in the healthcare setting. In addition, this study demonstrated the practical application of D’Amour’s collaboration model. Further exploration to generalise the results in other healthcare settings is required.
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References
Al-Shehri, A.M., Al Haqwi, A.I., Al Ghamdi, A.S., Al-Turki, S.A.: Challenges facing continuing medical education and the saudi council for health specialities. Saudi Med. J. 22(1), 3–5 (2001)
Al-Shehri, A.M., Alhaqwi, A.I., Al-Sultan, M.A.: Quality issues in continuing medical education in Saudi Arabia. Ann. Saudi Med. 28(5), 378–381 (2008)
Bank L, Jippes M, Scherpbier AJJA, Scheele F: 2017 Change management support in postgraduate medical education: A change for the better. In medical and surgical education - Past, Present and Future, Georgios Tsoulfas, IntechOpen. doi: https://doi.org/10.5772/intechopen.72113.
Baron, R.B., Davis, N.L., Davis, D.A., Headrick, L.A.: Teaching for quality: where do we go from here? Am. J. Med. Qual. 29(3), 256–258 (2014)
Baum, K.D., Davis, D.A.: Aligning education for quality: using continuing professional development to meet clinical and educational system needs. J. Contin. Educ. Health Prof. 36(1), S50–S51 (2016). https://doi.org/10.1097/CEH.0000000000000090
Beaulieu, M.D., Denis, J.L., D’Amour, D., Gaudreau, J., Haggerty, J., Hudon, E., et al.: L’implantation des Groupes de médecine de famille: ledéfi de la réorganisation de la pratique et de la collaboration interprofessionnelle. Research Report Université de Montréal, Montréal (2006)
Bodewes, W.E.J.: Formalization and innovation revisited. Eur. J. Innov. Manag. 5(4), 214–223 (2002)
Cashman, S.B., Reidy, P., Cody, K., Lemy, C.A.: Developing and measuring progress toward collaborative, integrated, interdisciplinary health care teams. J. Interprof. Care 18(2), 183–196 (2004)
Cervero, R.M., Gaines, J.K.: The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J. Contin. Educ. Health Prof. 35(2), 131–138 (2015).
Creswell, J.: The selection of a research design research design Qualitative, quantitative, and mixed methods approaches. Sage publications, Thousand Oaks (2013)
D’Amour, D., Goulet, L., Pineault, R., Labadie, J.F., Remondin, M.: Comparative study of interorganizational collaboration and its impact: the case of perinatal services. Research Report GRIS, Montréal (2004)
D’Amour, D., Sicotte, C., Lévy, R.: Un modèle de structuration de l’action collective dans les services de santé de première ligne au Québec. Sci. Soc. et Santé 17(3), 67–94 (2010)
Davis, D.A., Rayburn, W.F.: Integrating continuing professional development with health system reform: building pillars of support. Acad. Med. 91(1), 26–29 (2016).
Davis, N.L., Davis, D.A., Johnson, N.M., Grichnik, K.L., Headrick, L.A., et al.: Aligning academic continuing medical education with quality improvement: a model for the 21st century. Acad Med. 88(10), 1437–1441 (2013a).
Davis, N., Davis, D., Bloch, R.: Continuing medical education AMEE education guide no 35. Med. Teach. 30(7), 652–666 (2008)
Davis, D., Bordage, G., Moores, C.L.K., Bennett, N., Marinopoulos, S.S., Mazmanian, P.E., et al.: The science of continuing medical education terms, tools, and gaps effectiveness of continuing medical education american college of chest physicians evidence-based educational guidelines. Chest 135(3 Suppl), 8S-16S (2009). https://doi.org/10.1378/chest.08-2513
Davis, D.A., Baron, R.B., Grichnik, K., Topulos, G.P., Agus, Z.S., Dorman, T.: Commentary: CME and its role in the academic medical center: increasing integration, adding value. Acad. Med. 85(1), 12–15 (2010)
Davis, N.L., Davis, D.A., Johnson, N.M., Grichnik, K.L., Headrick, L.A., Pingleton, S.K., et al.: Aligning academic continuing medical education with quality improvement: a model for the 21st century. Acad. Med. 88(10), 1437–1441 (2013b)
Irvine-Doran, D.M., Baker, G.R., Murray, M., Bohnen, J., Zahn, C., Sidani, S., Carryer, J.: Achieving clinical improvement: an interdisciplinary intervention. Health Care Manage. Rev. 27(4), 42–56 (2002)
Joint Centre for Education in Medicine 1999 Good CPD guide. Sutton, Surrey: Reed Healthcare 23
Kennedy, T.J., Lingard, L.A.: Making sense of grounded theory in medical education. Med. Educ. 40(2), 101–108 (2006)
Kitto, S.C., Chesters, J., Grbich, C.: Quality in qualitative research. Med. J. Aust. 188(4), 243–246 (2008)
Kitto, S., Goldman, J., Etchells, E., Silver, I., Peller, J., Sargeant, J., et al.: (Mis)perceptions of continuing education: Insights from knowledge translation, quality improvement, and patient safety leaders. J. Contin. Educ. Health Prof. 33(2), 81–88 (2013)
Kitto, S., Goldman, J., Etchells, E., Silver, I., Peller, J., Sargeant, J., et al.: Quality improvement, patient safety, and continuing education a qualitative study of the current boundaries and opportunities for collaboration between these domains. Acad. Med. 90(2), 240–245 (2015)
Légaré, F., Borduas, F., Freitas, A., Jacques, A., Godin, G., et al.: Development of a simple 12-item theory-based instrument to assess the impact of continuing professional development on clinical behavioral intentions. PLoS ONE 9(3), e91013 (2014)
Lemire, F.: Improving our practice reliability: quality improvement and patient safety. Can. Fam. Physician. 62(6), 528 (2016)
Lukas, C.V., Holmes, S.K., Cohen, A.B., Restuccia, J., Cramer, I.E., Shwartz, M., Charns, M.P.: Transformational change in health care systems: An organizational model. Health Care Manage. Rev. 32(4), 309–320 (2007). https://doi.org/10.1097/01.HMR.0000296785.29718.5d
Martín-Rodríguez, L.S., Beaulieu, M.D., D’Amour, D., Ferrada, M.: The determinants of successful collaboration: a review of theoretical and empirical work. J. Interprof. Care 19(1), 132–147 (2005).
Miles MB, Huberman AM, Saldana J, Methods of describing. Qualitative data analysis a methods sourcebook. SAGE Publications, 161–192 (2013).
Moore, D.E., Green, J.S., Gallis, H.A.: Achieving desired results and improved outcomes: integrating planning and assessment throughout learning activities. J. Contin. Educ. Health Prof. 29(1), 1–15 (2009).
Neily, J., Mills, P.D., Young-Xu, Y., Carney, B.T., West, P., Berger, D.H., Mazzia, L.M., Paull, D.E., Bagian, J.P.: Association between implementation of a medical team training programme and surgical mortality. JAMA 304(15), 1693–1700 (2010)
Price, D.: Continuing medical education, quality improvement, and organizational change: implications of recent theories for twenty-first-century CME. Med. Teach. 27(3), 259–268 (2005)
Royal College of Physician and Surgeons of Canada: MOC Program. Put your practice at the center of your learning. Accessed on December, 2014. http://www.royalcollege.ca/rcsite/documents/continuing-professional-development/moc-insert-e.pdf.
Sargeant, J., Wong, B.M., Campbell, C.M.: CPD of the future: a partnership between quality improvement and competency-based education. Med. Educ. 52, 125–135 (2018). https://doi.org/10.1111/medu.13407
Shojania, K.G., Silver, I., Levinson, W.: Continuing medical education and quality improvement a match made in heaven? Ann. Intern. Med. 156(4), 305–308 (2012)
Van Hoof, T.J., Meehan, T.P.: Integrating essential components of quality improvement into a new paradigm for continuing education. J. Contin. Educ. Health Prof. 31(3), 207–214 (2011)
Yang, T.M., Maxwell, T.A.: Information-sharing in public organizations: a literature review of interpersonal, intra-organizational and inter-organizational success factors. Gov. Inf. Q. 28(2), 164–175 (2011)
Yin, R.: Case study research: design and methods. Sage, Thousand Oaks (2009)
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Appendix: Semi-structured interview guide
Appendix: Semi-structured interview guide
1.1 Interview script
Thank you for taking the time to talk to me today about your experience as a leader in QA/CPD. Before we start the interview, I want to first tell you a little bit about myself and the purpose of today’s conversation. Please sign the informed consent form.
The following interview guide will be used to study boundaries and integrations between quality, and CPD according to leaders in each domain.
1.1.1 Historical development
1.1.1.1 Prompts
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Please describe your understanding of the historical development of your field in the organization?
1.1.2 Role development
1.1.2.1 Prompts
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Can you describe how your role developed in your field?
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Can you describe what previous training you had related to your field?
1.1.3 Definition of dominant field
1.1.3.1 Prompts
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In your own words, can do you describe the definition of your field?
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Can you describe the methods it uses?
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Can you describe the outcomes it tries to achieve?
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Can you describe the stakeholders it involves?
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Can you describe its target population?
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Can you describe its drivers?
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Can you describe of interventions?
1.1.4 Current state of dominant field in the organization:
1.1.4.1 Prompts
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What are the activities taking place in your domain within the organization?
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What are the current limitations?
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What are the current areas of strength?
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What areas of development are being called for?
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What are the facilitatory factors?
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What challenges are being faced?
1.1.5 Relationship to other fields
1.1.5.1 Prompts
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How do you describe the other fields?
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What are their limitations?
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How is your field related to the other field?
1.1.6 Integration with other fields
1.1.6.1 Prompts
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What has been your experience in integrating your field with the other field?
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What supportive factors?
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What challenges are faced to an integrated approach?
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Agha, S. Aligning continuing professional development (CPD) with quality assurance (QA): a perspective of healthcare leadership. Qual Quant 56, 447–461 (2022). https://doi.org/10.1007/s11135-021-01138-2
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DOI: https://doi.org/10.1007/s11135-021-01138-2