Abstract
Objective
The authors describe a curriculum for psychiatry residents in Quality Improvement (QI) methodology.
Methods
All PGY3 residents (N=12) participated in a QI curriculum that included a year-long group project. Knowledge and attitudes were assessed before and after the curriculum, using a modified Quality Improvement Knowledge Assessment Tool (QIKAT) and a QI Self-Assessment survey.
Results
QIKAT scores were significantly higher for residents after participating in the curriculum when compared with pretest scores. Self-efficacy ratings in QI improved after the course for each item. Residents demonstrated gains in QI skills through participation in the group projects in which they increased rates of depression-screening and monitoring in an outpatient clinic.
Conclusions
Combining didactic and experiential learning can be an effective means for training psychiatry residents in QI.
Similar content being viewed by others
References
Accreditation Council for Graduate Medical Education: ACGME Program Requirements for Graduate Medical Education in Psychiatry, 2007; available from http://www.acgme.org/acWebsite/RRC_400/400_prIndex.asp
Kenney C: The Best Practice: How the New Quality Movement Is Transforming Medicine. New York, Public Affairs, 2008
Federman AD, Keyhani S: Physicians’ participation in the Physicians’Quality Reporting Initiative and their perceptions of its impact on quality of care. Health Policy 2011; 102:229–234
Tinsley JA: An educational intervention to improve residents’ inpatient charting. Acad Psychiatry 2004; 28:136–139
Shiner B, Green RL, Homa K, et al: Improving depression care in a psychiatry resident psychopharmacology clinic: measurement, monitoring, feedback, and education. Qual Saf Health Care 2010; 19:234–238
Philibert I: Accreditation Council for Graduate Medical Education and Institute for Healthcare Improvement 90-Day Project. Involving Residents in Quality Improvement: Contrasting “Top-Down” and “Bottom-Up” Approaches, 2008; available from http://www.acgme.org/acWebsite/ci/90DayProjectReportDFA_PA_09_15_08.pdf
Patow CA, Karpovich K, Riesenberg LA, et al: Residents’ engagement in quality improvement: a systematic review of the literature. Acad Med 2009; 84:1757–1764
Kilo CM: A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement’s Breakthrough Series. Qual Manag Health Care 1998; 6:1–13
Haan CK, Edwards FH, Poole B, et al: Amodel to begin to use clinical outcomes in medical education. Acad Med 2008; 83: 574–580
Ogrinc G, Headrick LA, Morrison LJ, et al: Teaching and assessing resident competence in practice-based learning and improvement. J Gen Intern Med 2004; 19:496–500
Vinci LM, Oyler J, Johnson JK, et al: Effect of a quality improvement curriculum on resident knowledge and skills in improvement. Qual Saf Health Care 2010; 19:351–354
Sockalingam S, Stergiopoulos V, Maggi J, et al: Quality education: a pilot quality improvement curriculum for psychiatry residents. Med Teach 2010; 32:e221–e226
Reardon CL, Ogrinc G, Walaszek AJ: A didactic and experiential quality improvement curriculum for psychiatry residents. Grad Med Educ 2011; 3:562–565
Garfield D, Atre-Vaidya N, Sierles F: Teaching the APA Practice Guidelines to psychiatry residents: a novel strategy. Acad Psychiatry 2002; 26:70–75
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Arbuckle, M.R., Weinberg, M., Cabaniss, D.L. et al. Training Psychiatry Residents in Quality Improvement: An Integrated, Year-Long Curriculum. Acad Psychiatry 37, 42–45 (2013). https://doi.org/10.1176/appi.ap.11120214
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1176/appi.ap.11120214