Pilot implementation and evaluation of a national quality improvement taught curriculum for urology residents: Lessons from the United Kingdom

Pallari, Elena, Khadjesari, Zarnie, Biyani, Shekhar, Jain, Sunjay, Hodgson, Dominic, Green, James and Sevdalis, Nick (2020) Pilot implementation and evaluation of a national quality improvement taught curriculum for urology residents: Lessons from the United Kingdom. The American Journal of Surgery, 219 (2). pp. 269-277. ISSN 0002-9610

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Abstract

Background : We report the immediate educational impact of a previously developed quality improvement (QI) curriculum for UK urology residents. Materials and methods : Prospective pre/post-training evaluation, using the Kirkpatrick framework: residents’ QI knowledge, skills and attitudes were assessed via standardized assessments. We report descriptive/inferential statistics and scales psychometric analyses. Results : Ninety-eight residents from across the UK provided full datasets. Scale reliability was good (Cronbach-alphas = 0.485–0.924). Residents' subjective knowledge (Mpre = 2.71, SD = 0.787; Mpost = 3.97, SD = 0.546); intentions to initiate QI (Mpre = 3.65, SD = 0.643; Mpost = 4.09, SD = 0.642); attitudes towards doing QI (Mpre = 3.67, SD = 0.646; Mpost = 4.11, SD = 0.591); attitudes towards QI at work (Mpre = 3.80, SD = 0.511; Mpost = 4.00, SD = 0.495); and attitudes towards influencing QI (Mpre = 3.65, SD = 0.482; Mpost = 3.867, SD = 0.473) all improved post-training (all ps < 0.0001). Objective knowledge remained stable (58%–59%, p > 0.05). Residents’ satisfaction was high. Conclusions : Our novel QI training is educationally sound and feasible to deliver. Longitudinal evaluation and scalability are planned.

Item Type: Article
Uncontrolled Keywords: education,evaluation,pilot,quality improvement,urology,nsqip,safety,american-college,surgery ,/dk/atira/pure/subjectarea/asjc/2700/2746
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 19 Nov 2019 09:30
Last Modified: 08 Oct 2020 23:52
URI: https://ueaeprints.uea.ac.uk/id/eprint/72997
DOI: 10.1016/j.amjsurg.2019.11.011

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