title: Teaching and assessing resident competence in practice-based learning and improvement.
abstract: 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.
authors.affiliation: Department of Medicine, Dartmouth Medical School, Hanover, NH, USA.
authors.forename: Greg
authors.initials: G
authors.lastname: Ogrinc
authors.forename: Linda A
authors.initials: LA
authors.lastname: Headrick
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Morrison
authors.forename: Tina
authors.initials: T
authors.lastname: Foster
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003479:Curriculum; D004521:Educational Measurement / Q000379:methods*; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D007858:Learning; D005791:Patient Care / Q000592:standards; D012647:Self-Assessment