Practice-based Learning and Improvement (PBLI) in Postgraduate Medical Training: Milestones, Instructional and Assessment strategies.
Patient-safety and quality-improvement are high-priority issues. One of the ways by which this can be implemented is by training residents to gather and appraise scientific evidence, as well as to evaluate their own patient-care practices. This competency is called Practice-based Learning and Improvement (PBLI). Training in PBLI provides residents with skills and knowledge necessary to reflect on their own strengths and deficiencies, identify their own learning needs, and engage in learning for improvement. PBLI also involves teaching residents to access and integrate literature by using scientific evidence and practice experience to make better clinical decisions. Training in PBLI has been found to lead to better health outcomes. We recommend explicitly incorporating elements of PBLI training and assessment in the present residency training curriculum in India. Implementing PBLI training and assessment will also require capacity-building through targeted faculty development programs.
Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Maharashtra; #Department of Pharmacology, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab; *Department of Pediatrics, University College of Medical Sciences, New Delhi; and $Department of Pediatrics and Medical Education, CMC, Ludhiana, Punjab; India Correspondence to: Dr Anshu, Professor, Department of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha 442 102, Maharashtra, India. dr.anshu@gmail.com.
Rajiv
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Mahajan
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Anshu
Piyush
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Gupta
Tejinder
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Singh
D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods / Q000592:standards; D004521:Educational Measurement; D006801:Humans; D007194:India; D007396:Internship and Residency; D008485:Medical Audit