Developing a Practice-Based Learning and Improvement Curriculum for an Academic General Surgery Residency

Erin S. O'Connor*, David M. Mahvi, Eugene F. Foley, Dennis Lund, Robert McDonald

*Corresponding author for this work

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background: Program directors in surgery are now facing the challenge of incorporating the ACGME's practice-based learning and improvement (PBLI) competency into residency curriculum. We introduced a comprehensive PBLI experience for postgraduate year 2 (PGY2) residents designed to integrate specific competency goals (ie, quality improvement, clinical thinking, and self-directed learning) within the context of residents' clinical practice. Study Design: Fourteen PGY2 residents participated in a 3-week PBLI curriculum consisting of 3 components: complex clinical decision making, individual learning plan, and quality improvement (QI). To assess how effectively the curriculum addressed these 3 competencies, residents rated their understanding of PBLI by answering a 12-question written survey given pre- and post-rotation. Resident satisfaction was assessed through standard post-rotation evaluations. Results: Analysis of the pre- and post-rotation surveys from the 14 participants showed an increase in all measured elements, including knowledge of PBLI (p < 0.001), ability to assess learning needs (p < 0.001), set learning goals (p < 0.001), understanding of QI concepts (p = 0.001), and experience with QI projects (p < 0.001). Fourteen QI projects were developed. Although many residents found the creation of measurable learning goals to be challenging, the process of identifying strengths and weaknesses enhanced the resident's self-understanding and contributed to overall satisfaction with the rotation. Conclusions: The initial implementation of our PBLI curriculum demonstrated that residents report personal progress in their clinical decision making, self-directed learning, and familiarity with QI. This comprehensive PBLI curriculum was accepted by surgical residents as a valuable part of their training. We are encouraged to continue a clinically grounded PBLI experience for PGY2 residents.

Original languageEnglish (US)
Pages (from-to)411-417
Number of pages7
JournalJournal of the American College of Surgeons
Volume210
Issue number4
DOIs
StatePublished - Apr 1 2010

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Internship and Residency
Curriculum
Learning
Quality Improvement
Aptitude

ASJC Scopus subject areas

  • Surgery

Cite this

O'Connor, Erin S. ; Mahvi, David M. ; Foley, Eugene F. ; Lund, Dennis ; McDonald, Robert. / Developing a Practice-Based Learning and Improvement Curriculum for an Academic General Surgery Residency. In: Journal of the American College of Surgeons. 2010 ; Vol. 210, No. 4. pp. 411-417.
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Developing a Practice-Based Learning and Improvement Curriculum for an Academic General Surgery Residency. / O'Connor, Erin S.; Mahvi, David M.; Foley, Eugene F.; Lund, Dennis; McDonald, Robert.

In: Journal of the American College of Surgeons, Vol. 210, No. 4, 01.04.2010, p. 411-417.

Research output: Contribution to journalArticle

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