A Quality Improvement Curriculum in Ambulatory Obstetrics and Gynecology: Development and Implementation With OBGYN Residents

Abstract

Local Mentor: Maria Manriquez, MD APGO Advisor: Lee A. Learman, MD, PhD PURPOSE: To develop a quality improvement (QI) curriculum for Obstetrics and Gynecology (OBGYN) residents using on-line modules from the Institute for Healthcare Improvement's Open School. BACKGROUND: OBGYN residents need to acquire knowledge and skills in quality improvement to be prepared to participate in this process in ambulatory practice. METHODS: We designed a QI curriculum for residents using on-line modules from the Institute for Healthcare Improvement's Open School. The curriculum comprised three introductory modules supplemented with small group sessions during which ambulatory based QI projects were developed. Completion of the curriculum was a required component of residency training. EVALUATION PLAN: Residents completed a pre and post-curriculum survey. The survey included an eleven-question test of knowledge and a nine-question assessment of attitudes and confidence. Knowledge questions were drawn directly from the modules and graded on number of items correct; attitude and confidence questions were scored on a 5-point, Likert-type scale with 5 representing greatest confidence and perceived value surrounding QI issues. Mean knowledge scores increased from 7.25 to 8.72 following completion of the curriculum (P<.001). Similarly, mean attitude scores increased from 3.51 to 3.98 (P<.001). Ninety-seven percent of residents completed the modules and all small groups were successful in development of proposed ambulatory-based quality improvement projects. DISSEMINATION: Planned submission to the AAMC Med-Ed PORTAL. REFLECTIVE CRITIQUE: Residents showed gains in knowledge and confidence. Residents' development of quality improvement projects would have benefited from addition of a Quality Analyst. Our intent is to continue to develop and carry out the projects identified.