Purpose: Design, implement, and evaluate a longitudinal obstetrics and gynecology residency patient safety (PS)/quality improvement (QI) curriculum.
Background: Despite the ACGME requiring residents to learn
practical knowledge around PS/QI, the 2021 CLER National Report of Findings
found that many programs teach only components of PS/QI through single,
event-based activities. Data are limited on longitudinal PS/QI curricula.
Methods: PGY-1 residents completed modules and didactics. PGY-2 residents completed a Root Cause Analysis and Action (RCA2) on a safety event. PGY-3 and 4 residents completed an independent QI project. Residents also presented PS cases at Departmental Morbidity and Mortality conferences. Effectiveness of the program was assessed via the Quality Improvement Knowledge Tool (QIKAT-R) and rubric-based assessments of the RCA2 and QI projects. Assessments were then used to evaluate achievement of the ACGME PS/QI milestones. Reaction data were also collected.
Results: Six residents have completed the entire four-year program, with 24 residents currently participating. Foundational knowledge, assessed via the QIKAT-R, improved significantly pre- and post-course (n=10, p 0.0001). Self-efficacy in root cause analysis domains improved significantly via retrospective pre-post test (n=12, p< 0.05). All graduating residents met the level 4 PS/QI milestones. Program sessions were rated good to very good in quality.
Discussions: Implementing a progressive PS/QI curriculum helped residents build knowledge, confidence, and tangible skills to be actively involved in PS/QI efforts in residency and beyond.
Topics: CREOG & APGO Annual Meeting, 2023, Resident, Faculty, Residency Director, Residency Coordinator, Systems-Based Practice & Improvement, GME, Assessment, Quality & Safety,
Katherine Zurales, MD, MBA; Michigan Medicine; AnneMarie Opipari, MD; Rosalyn Maben-Feaster, MD, MPH; Anita Malone, MD, MPH; Alice Chi, MD;
