title: A continuous quality improvement curriculum for residents: addressing core competency, improving systems.
abstract: OBJECTIVE
  To describe the development, implementation, and evaluation of a residency continuous quality improvement (CQI) curriculum.
  
  
  METHODS
  Forty-four medicine and pediatrics residents participated in a CQI curriculum. Resident-designed projects were scored for CQI construct skills using a grading tool. Pre- and post-tests evaluated knowledge, perceived knowledge, interest, and self-efficacy.
  
  
  RESULTS
  Differences between pre- and post-test perceived knowledge and self-efficacy were highly significant (p <.001). The mean project score was 81.7% (SD 8.3%). Higher knowledge was associated with higher ratings of self-efficacy. There was no correlation of measured knowledge with project score or interest.
  
  
  CONCLUSIONS
  Resident education and learning in CQI served to produce innovative and creative improvement projects that demonstrated individual residents' competency in practice-based learning and improvement.
authors.affiliation: adjurici@iupui.edu
authors.forename: Alexander M
authors.initials: AM
authors.lastname: Djuricich
authors.forename: Mary
authors.initials: M
authors.lastname: Ciccarelli
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Swigonski
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D003479:Curriculum / Q000592:standards*; D004503:Education, Medical, Graduate / Q000592:standards; D004521:Educational Measurement; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D007858:Learning; D010372:Pediatrics / Q000193:education; D016730:Program Development; D015397:Program Evaluation; D020377:Self Efficacy; D013663:Teaching / Q000379:methods; D017749:Total Quality Management