Building bridges: engaging medical residents in quality improvement and medical leadership.

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ID: 103408
2016
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Ranked #10 of 125 articles by views in International journal for quality in health care : journal of the International Society for Quality in Health Care

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Abstract
To develop an educational intervention that targets residents' beliefs and attitudes to quality Improvement (QI) and leadership in order to demonstrate proactive behaviour.Theory-driven, mixed methods study including document analysis, interviews, observations and open-ended questionnaires.Six Dutch teaching hospitals.Using expertise from medicine, psychology, organizational and educational sciences we developed a situated learning programme named Ponder and IMProve (PIMP). The acronym PIMP reflects the original upbeat name in Dutch, Verwonder & Verbeter. It has a modern, positive meaning that relates to improving your current circumstances. In quarterly 1-h sessions residents are challenged to identify daily workplace frustrations and translate them into small-scale QI activities.Organizational awareness, beliefs and attitudes to QI and organizational responsibilities, resident behaviour, barriers and facilitators to successful learning and the programme's potential impact on the organization.Overall, 19 PIMP meetings were held over a period of 3 years. Residents defined 119 PIMP goals, resolved 37 projects and are currently working on another 39 projects. Interviews show that PIMP sessions make residents more aware of the organizational aspects of their daily work. Moreover, residents feel empowered to take up the role of change agent. Facilitators for success include a positive cost-benefit trade-off, a valuable group process and a safe learning environment.This article demonstrates the added value of multidisciplinary theory-driven research for the design, development and evaluation of educational programmes. Residents can be encouraged to develop organizational awareness and reshape their daily frustrations in QI work.
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voogt2016buildinginternational Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Voogt, Judith J;van Rensen, Elizabeth L J;van der Schaaf, Marieke F;Noordegraaf, Mirko;Schneider, Margriet Me;
Journal International journal for quality in health care : journal of the International Society for Quality in Health Care
Year 2016
DOI
10.1093/intqhc/mzw091
URL
Keywords
quality improvement leadership postgraduate education

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