title: A model of four hierarchical levels to train Chinese residents' teaching skills for "practice-based learning and improvement" competency.
abstract: OBJECTIVE
  The current study focused on validating a protocol for training and auditing the resident's practice-based learning and improvement (PBLI) and quality improvement (QI) competencies for primary care.
  
  
  METHODS
  Twelve second-year (R2), 12 first-year (R1) and 12 postgraduate year-1 residents were enrolled into group A, B and C, respectively, as trainees. After three training protocols had been completed, a writing test, self-assessed questionnaire and mini-OSTE and end-of-rotation assessment were used in auditing the PBLI competency, performance and teaching ability of trainees.
  
  
  RESULTS
  Baseline expert-assessed PBLI and QI knowledge application tool writing scores were low for the R1 and R2 residents. After three training protocols, PBLI and QI proficiencies, performance and teaching abilities were improved to similar levels cross the three training levels of residents based on the expert-assessed writing test-audited assessments and on the faculty and standardized clerk-assessed end-of-rotation-/mini-OSTE-audited assessments.
  
  
  CONCLUSIONS
  The different four-level hierarchical protocols used to teach group A, B and C were equally beneficial and fitted their needs; namely the different levels of the trainees. Specifically, each level was able to augment their PBLI and QI proficiency. This educational intervention helps medical institutions to train residents as PBLI instructors.
authors: a 1 Division of Clinical Skills Training , Taipei, Taiwan.
authors: Ying-Ying
authors: YY
authors: Yang
authors: Ling-Yu
authors: LY
authors: Yang
authors: Hui-Chi
authors: HC
authors: Hsu
authors: Chia-Chang
authors: CC
authors: Huang
authors: Chin-Chou
authors: CC
authors: Huang
authors: Ralph
authors: R
authors: Kirby
authors: Hao Min
authors: HM
authors: Cheng
authors: Ching-Chi
authors: CC
authors: Chang
authors: Chiao-Lin
authors: CL
authors: Chuang
authors: Jen-Feng
authors: JF
authors: Liang
authors: Chun-Chi
authors: CC
authors: Lin
authors: Wei-Shin
authors: WS
authors: Lee
authors: Shung-Tai
authors: ST
authors: Ho
authors: Fa-Yauh
authors: FY
authors: Lee
mesh_terms: D001077:Aptitude Tests / Q000592:standards*; D002681:China; D002983:Clinical Competence / Q000592:standards*; D004521:Educational Measurement / Q000379:methods; D006801:Humans; D007396:Internship and Residency / Q000379:methods / Q000592:standards; D020380:Needs Assessment; D011320:Primary Health Care / Q000379:methods / Q000592:standards*; D058996:Quality Improvement; D015203:Reproducibility of Results; D013663:Teaching / Q000379:methods*
keywords: Faculty; mini-OSTE; practice-based learning and improvement; quality improvement; standardized clerk