ArticleJournal of graduate medical education2011
Pilot study evaluating a practice-based learning and improvement curriculum focusing on the development of system-level quality improvement skills.
Article in Journal of graduate medical education, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00754377 (Developing a PBLI QI Systems Impact Assessment Questionnaire), which is not on this map. Cited by 8 papers.
What it found
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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.
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.
Developing a PBLI QI Systems Impact Assessment Questionnaire
Who cites it
8 citing papers in PubMed.
- Advancing Professionalism Through a Patient Safety and Quality Improvement Workshop in Radiation Oncology.Cureus · 2025Article
- An interprofessional postgraduate quality improvement curriculum: results and lessons learned over a 5-year implementation.Medical education online · 2024Article
- A conceptual model for practice-based learning and improvement competency in medicine.Journal of family medicine and primary care · 2022Article
- Aiming for quality: a global compass for national learning systems.Health research policy and systems · 2021Review
- Safety culture in the primary health care settings based on workers with a leadership role: the psychometric properties of the Slovenian-language version of the safety attitudes questionnaire - short form.BMC health services research · 2018Article
- Validity and Reliability of a Tool to Assess Quality Improvement Knowledge and Skills in Pediatrics Residents.Journal of graduate medical education · 2017Article
- Pediatrics Residents' Confidence and Performance Following a Longitudinal Quality Improvement Curriculum.Journal of graduate medical education · 2016Article
- Practice-based learning and improvement curricula: a critical opportunity to educate future physicians and leaders.Journal of graduate medical education · 2011Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe developed a practice-based learning and improvement (PBLI) curriculum to address important gaps in components of content and experiential learning activities through didactics and participation in systems-level quality improvement projects that focus on making changes in health care processes.
methodsWe evaluated the impact of our curriculum on resident PBLI knowledge, self-efficacy, and application skills. A quasi-experimental design assessed the impact of a curriculum (PBLI quality improvement systems compared with non-PBLI) on internal medicine residents' learning during a 4-week ambulatory block. We measured application skills, self-efficacy, and knowledge by using the Systems Quality Improvement Training and Assessment Tool. Exit evaluations assessed time invested and experiences related to the team projects and suggestions for improving the curriculum.
resultsThe 2 groups showed differences in change scores. Relative to the comparison group, residents in the PBLI curriculum demonstrated a significant increase in the belief about their ability to implement a continuous quality improvement project (P = .020), comfort level in developing data collection plans (P = .010), and total knowledge scores (P < .001), after adjusting for prior PBLI experience. Participants in the PBLI curriculum also demonstrated significant improvement in providing a more complete aim statement for a proposed project after adjusting for prior PBLI experience (P = .001). Exit evaluations were completed by 96% of PBLI curriculum participants who reported high satisfaction with team performance.
conclusionResidents in our curriculum showed gains in areas fundamental for PBLI competency. The observed improvements were related to fundamental quality improvement knowledge, with limited gain in application skills. This suggests that while heading in the right direction, we need to conceptualize and structure PBLI training in a way that integrates it throughout the residency program and fosters the application of this knowledge and these skills.
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Registered trials
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.