Evidence map›Paper›PMID 21053089›Full record

ArticleJournal of general internal medicine2011

Teaching internal medicine residents to sustain their improvement through the quality assessment and improvement curriculum.

Julie Oyler, Lisa Vinci, Julie K Johnson, Vineet M Arora

Abstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Meeting the challenge of practice quality improvement: a study of seven family medicine residency training practices.Academic medicine : journal of the Association of American Medical Colleges · 2011
    Trial
  2. Decoding the persistence of delayed hospital discharge: An in-depth scoping review and insights from two decades.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  3. Article
  4. Article
  5. A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting.MedEdPORTAL : the journal of teaching and learning resources · 2017
    Article
  6. The problem with Plan-Do-Study-Act cycles.BMJ quality & safety · 2016
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Julie OylerDepartment of Medicine, University of Chicago, 5841 S. Maryland Ave., MC 3051, Chicago, IL 60637, USA. joyler@medicine.bsd.uchicago.edu
Lisa Vinci
Julie K Johnson
Vineet M Arora

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough sustainability is a key component in the evaluation of continuous quality improvement (CQI) projects, medicine resident CQI projects are often evaluated by immediate improvements in targeted areas without addressing sustainability. AIM/

settingTo assess the sustainability of resident CQI projects in an ambulatory university-based clinic. PROGRAM DESCRIPTION: During their ambulatory rotation, all second year internal medicine residents use the American Board of Internal Medicine's Clinical Preventive Services (CPS) Practice Improvement Modules (PIM) to complete chart reviews, patient surveys, and a system survey. The residents then develop a group CQI project and collect early post data. Third year residents return to evaluate their original CQI project during an ambulatory rotation two to six months later and complete four plan-do-study-act (PDSA) cycles on each CQI project. PROGRAM EVALUATION: From July 2006 to June 2009, 64 (100%) medicine residents completed the CQI curriculum. Residents completed six group projects and examined their success using early (2 to 6 weeks) and late (2 to 6 months) post-intervention data. Three of the projects demonstrated sustainable improvement in the resident continuity clinic. DISCUSSION: When residents are taught principles of sustainability and spread and asked to complete multiple PDSA cycles, they are able to identify common themes that may contribute to success of QI projects over time.

Indexed as

Attitude of Health PersonnelCurriculumHumansInternal MedicineInternship and ResidencyProgram EvaluationQuality ImprovementTeaching

Identifiers

PMID21053089
PMCPMC3019318

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.