title: Innovative model of delivering quality improvement education for trainees--a pilot project.
abstract: BACKGROUND
  After incorporating quality improvement (QI) education as a required curriculum for our trainees in 2010, a need arose to readdress our didactic sessions as they were too long, difficult to schedule, and resulting in a drop in attendance. A 'flipped classroom' (FC) model to deliver QI education was touted to be an effective delivery method as it allows the trainees to view didactic materials on videos, on their own time, and uses the classroom to clarify concepts and employ learned tools on case-based scenarios including workshops.
  
  
  METHODS
  The Mayo Quality Academy prepared 29 videos that incorporated the previously delivered 17 weekly didactic sessions, for a total duration of 135 min. The half-day session clarified questions related to the videos, followed by case examples and a hands-on workshop on how to perform and utilize a few commonly used QI tools and methods.
  
  
  RESULTS
  Seven trainees participated. There was a significant improvement in knowledge as measured by pre- and post-FC model test results [improvement by 40.34% (SD 16.34), p<0.001]. The survey results were overall positive about the FC model with all trainees strongly agreeing that we should continue with this model to deliver QI education.
  
  
  CONCLUSIONS
  The pilot project of using the FC model to deliver QI education was successful in a small sample of trainees.
authors.affiliation: Division of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN, USA; Ramar.kannan@mayo.edu.
authors.forename: Kannan
authors.initials: K
authors.lastname: Ramar
authors.affiliation: Quality Improvement Advisor, Quality Academy, Mayo Clinic, Rochester, MN, USA.
authors.forename: Curt W
authors.initials: CW
authors.lastname: Hale
authors.affiliation: Department of Systems and Procedures, Mayo Clinic, Rochester, MN, USA.
authors.forename: Eugene C
authors.initials: EC
authors.lastname: Dankbar
mesh_terms: D003299:Cooperative Behavior; D003479:Curriculum; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D019359:Knowledge; D010865:Pilot Projects; D015397:Program Evaluation; D058996:Quality Improvement / Q000458:organization & administration*; D013997:Time Factors; D014743:Videotape Recording
keywords: education innovation; fellows; flipped classroom; quality improvement; trainees