Implementing a Successful Quality Improvement Curriculum With a Required Resident-Led Project in a Pediatric Residency Program.

IF 0.7 4区医学 Q3 PEDIATRICS

Clinical Pediatrics Pub Date : 2025-10-01 Epub Date: 2025-04-24 DOI:10.1177/00099228251333207

Ryan Dean, Jonathan Wan, Martine Sainvilus, Meagan Acevedo, Lauren Borchardt, Mariam Zeini, Nicole Armstrong, J Gene Chen

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引用次数: 0

Abstract

The Accreditation Council for Graduate Medical Education (ACGME) requires that residents receive training in quality improvement (QI). There is a lack of data regarding QI curricula during pediatrics training. Our aim was to examine the implementation of a QI curriculum in a university-affiliated, community-based pediatric residency. The curriculum includes didactics, faculty mentorship, and instructional worksheets, and culminates in a resident-led QI project with Plan-Do-Study-Act (PDSA) cycles. From 2018 to 2024, 97 residents completed 72 QI projects. The percentage of residents completing a project rose from 7% pre-implementation to 100% post-implementation. Of the projects, 65 (90%) were presented at regional research symposia, and 14 (19%) were presented at national or regional conferences. Frequent targets of projects included vaccinations (13% of all projects), breastfeeding (8%), asthma management (7%), mental health (7%), and nutrition and obesity (7%). A QI curriculum in a pediatric residency fosters resident-led QI, promotes the completion of projects, and engenders opportunities for conference presentations.

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在儿科住院医师项目中实施一个由住院医师主导的成功的质量改进课程。

研究生医学教育认证委员会（ACGME）要求住院医师接受质量改进（QI）方面的培训。在儿科培训中缺乏有关QI课程的数据。我们的目的是检查大学附属社区儿科住院医师中QI课程的实施情况。课程包括教学、教师指导和教学工作表，并以居民领导的QI项目为高潮，该项目采用计划-执行-研究-行动（PDSA）循环。2018年至2024年，97名居民完成了72个QI项目。居民完成项目的比例从实施前的7%上升到实施后的100%。在这些项目中，65个（90%）在区域研究研讨会上提出，14个（19%）在国家或区域会议上提出。项目的常见目标包括疫苗接种（占所有项目的13%）、母乳喂养（8%）、哮喘管理（7%）、精神健康（7%）以及营养和肥胖（7%）。儿科住院医师的QI课程培养了住院医师领导的QI，促进了项目的完成，并创造了会议演讲的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Pediatrics 医学-小儿科

CiteScore

2.10

自引率

6.20%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.