QIC: A Pilot Quality Improvement Curriculum Utilizing Interactive, Team-based Workshops

Background: Incorporation of quality improvement (QI) training is essential to meet the milestones set forth by the Accreditation Council for Graduate Medical Education. However, there is no standardized curriculum. Objective: We aimed to create a QI curriculum through the integration of didactics and team-based learning via the completion of resident-led QI projects. Methods: An institutional review boardeapproved QI curriculum consisting of four interactive workshops was developed. The workshops introduced the various components of QI, with a focus on Plan-Do-Study-Act. Anonymous and voluntary precurriculum and postcurriculum surveys were administered during the study period in 2018. Results: Fifty surgical residents participated in the curriculum, and four QI projects were completed, with 23 residents completing both precurriculum and postcurriculum surveys. Following the curriculum, residents were more confident in their ability to design a QI project (5.7 +/- 2.6 versus 7.1 +/- 1.9, P = 0.02), write a problem statement (6.7 +/- 2.5 versus 7.8 +/- 1.1, P = 0.04), and write an aim statement (6.7 +/- 2.6 versus 7.8 +/- 1.2, P = 0.04). Residents also improved in perceived ability to lead a QI project (5.6 +/- 2.9 versus 6.9 +/- 1.9, P = 0.05), knowing the steps to complete a QI project (6.0 +/- 2.8 versus 7.4 +/- 1.7, P = 0.04), and familiarity with QI terminology (5.6 +/- 2.6 versus 7.0 +/- 1.9, P = 0.03). Conclusions: We found that the curriculum was a success and was well received. In addition, there was an improvement in perceived competency and confidence surrounding some of the steps necessary to complete a QI endeavor. (C) 2020 Elsevier Inc. All rights reserved.