title: Surgical education to improve the quality of patient care: the role of practice-based learning and improvement.
abstract: Health care is going through immense change, and concerns regarding the quality of patient care and patient safety continue to be expressed in many national forums. A variety of stakeholders are demanding greater accountability from the health care profession. Education is key to supporting surgeons' efforts to provide high-quality patient care during these challenging times. Educational programs for surgeons should be founded on principles of continuous professional development (CPD) and practice-based learning and improvement (PBLI). CPD focuses on the specific needs of individual surgeons and involves lifelong learning throughout a surgeon's career. It needs to form the basis of PBLI efforts. PBLI involves a cycle of four steps--identifying areas for improvement, engaging in learning, applying new knowledge and skills to practice, and checking for improvement. Ongoing involvement in PBLI activities to address specific learning needs should positively impact a surgeon's practice and improve outcomes of surgical care.
authors: Division of Education, American College of Surgeons, 633 N. Saint Clair Street, Chicago, IL 60611, USA. asachdeva@facs.org
authors: Ajit K
authors: AK
authors: Sachdeva
mesh_terms: D000068:Accreditation; D003162:Competency-Based Education; D020375:Education, Distance; D004502:Education, Medical, Continuing; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D017063:Outcome Assessment, Health Care; D018794:Problem-Based Learning; D011787:Quality of Health Care
references: Arch Surg. 2005 Apr;140(4):387-9
references: 15837889
references: JAMA. 1999 Sep 1;282(9):867-74
references: 10478694
references: Acad Med. 2004 Oct;79(10 Suppl):S70-81
references: 15383395
references: N Engl J Med. 2006 Dec 21;355(25):2664-9
references: 17182991
references: Surg Oncol Clin N Am. 2007 Jan;16(1):101-14
references: 17336239
references: JAMA. 2006 Sep 6;296(9):1094-102
references: 16954489
references: Arch Surg. 2005 Mar;140(3):264-9
references: 15781790
references: Bull Am Coll Surg. 2006 Mar;91(3):8-12
references: 18557053
references: J Contin Educ Health Prof. 2004 Spring;24(2):68-75
references: 15279131
references: Ann Surg. 2006 Sep;244(3):400-9
references: 16926566
references: Surg Clin North Am. 2004 Dec;84(6):1669-98, xii
references: 15501281
references: Surgery. 2004 Jan;135(1):43-7
references: 14694299