Integrating improvement competencies into residency education: A pilot project from a pediatric continuity clinic

Julie J. Mohr*, Greg D. Randolph, Matthew M. Laughon, Eva Schaff

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


Objective. - The Accreditation Council for Graduate Medical Education (ACGME) requires residents to attain 6 core competencies. This article describes a model for integrating 2 of these competencies (practice-based learning and improvement and systems-based practice) into residency education and assesses the clinical outcomes achieved for patients. Study design. - An observational study with before-after comparisons. Intervention. - Pediatric faculty facilitated multidisciplinary improvement team meetings (which included 8 residents) and implemented an established improvement model to improve the selected clinical condition (immunizations). Main outcome measures. - The proportion of consecutive children who were up-to-date on DTP, polio, MMR, HIB, and hepatitis B vaccines by 24 months of age. Results. - The residents' improvement team successfully implemented 5 changes in the clinic process, which coincided with an increase in immunization rates for 2-year-olds during the 1-year study period. Clinic immunization rates increased from 60% at baseline to 86% at follow-up (P = .04). Conclusion. - This study suggests that it is feasible to integrate practice-based learning and improvement and systems-based practice into residency education while providing a valuable learning experience for residents and improving patient outcomes.

Original languageEnglish (US)
Pages (from-to)131-136
Number of pages6
JournalAmbulatory Pediatrics
Issue number3
StatePublished - 2003


  • Core competencies
  • Quality improvement
  • Residency education
  • Systems-based practice

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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