The ability to evaluate one's own practice and to make improvements is essential for professional growth and effective care. To this end, the ACGME has created a new general competency: practiced-based learning and improvement. We developed a targeted experience in quality of care and reflective practice. Residents participate in a multifaceted program (including reading, a record audit, and “academic detailing” with a faculty preceptor) designed to improve their knowledge of core principles and skills in quality of care. For the record audit, each resident analyzes his or her own practice performance in managing a chronic disease. This experience allows them to reflect on their own practice patterns and to make adjustments to improve the care they deliver to patients. A commitment to change strategy is also incorporated into the experience to re-enforce the personal goals each resident identifies at the end of the rotation. In a controlled trial, patients cared for by residents “exposed” to this curriculum received higher quality of care and enjoyed improved outcomes6.
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8 Windish DM, Diener-West M. A clinician-educator's roadmap to choosing and interpreting statistical tests. J Gen Intern Med. Jun 2006;21(6):656-660.
9 Kansagara DL, Holmboe ES, Carr K, Huot SJ. Establishing a diabetes disease management program in a resident clinic (Abstract). J Gen Intern Med. 2005;20 (Suppl 1):31.
10 Fortin AH, Haeseler FD, Angoff N, et al. Teaching pre-clinical medical students an integrated approach to medical interviewing: half-day workshops using actors. J Gen Intern Med. 2002;17(9):704-708.