title: A longitudinal, experiential quality improvement curriculum meeting ACGME competencies for geriatrics fellows: lessons learned.
abstract: Quality improvement (QI) initiatives are critical in the care of older adults who are more vulnerable to substandard care. QI education meets aspects of core Accreditation Council of Graduate Medical Education competencies and prepares learners for the rising focus on performance measurement in health care. The authors developed, implemented, and evaluated a QI curriculum for geriatrics fellows. The evidence-based curriculum included didactics and a fellow-led QI intervention based on audit and feedback through the Practice Improvement Module in Care of the Vulnerable Elderly. QI knowledge, attitudes, and behaviors were assessed before and after the improvement project. Fellows' knowledge of QI improved (p = .0156), but behavior did not change significantly across a short-term improvement project. A structured focus group with fellows revealed themes of accountability and the importance of interprofessional teamwork in QI. QI education for geriatrics fellows can be feasible, well received, and prepare future physician leaders for patient-centered care, performance measurement, and effecting systems change.
authors: a Section on Gerontology and Geriatric Medicine, Department of Internal Medicine; and Clinical Geriatrics Fellowship , Sticht Center on Aging, Wake Forest School of Medicine , Winston-Salem , North Carolina , USA.
authors: Kathryn E
authors: KE
authors: Callahan
authors: Matthew T
authors: MT
authors: Rogers
authors: James F
authors: JF
authors: Lovato
authors: Helen M
authors: HM
authors: Fernandez
mesh_terms: D000328:Adult; D000368:Aged; D002983:Clinical Competence; D003479:Curriculum / Q000592:standards*; D004503:Education, Medical, Graduate / Q000379:methods / Q000458:organization & administration; D004521:Educational Measurement / Q000379:methods / Q000706:statistics & numerical data; D005257:Fellowships and Scholarships / Q000379:methods / Q000592:standards; D005853:Geriatrics / Q000193:education*; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D058996:Quality Improvement; D014481:United States
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