National implementation of a pragmatic quality improvement skills curriculum for urology residents in the UK: Application and results of ‘theory-of-change’ methodology

Balayah, Zuhur, Khadjesari, Zarnie, Keohane, Aoife, To, Wilson, Green, James SA. and Sevdalis, Nick (2021) National implementation of a pragmatic quality improvement skills curriculum for urology residents in the UK: Application and results of ‘theory-of-change’ methodology. The American Journal of Surgery, 221 (2). pp. 401-409. ISSN 0002-9610

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Abstract

Background There is global momentum to establish scalable Quality Improvement (QI) skills training curricula. We report development of an implementation plan for national scale-up of the ‘Education in Quality Improvement’ program (EQUIP) in UK urology residencies. Materials & methods Theory-of-Change (ToC) methodology was used, which engaged EQUIP stakeholders in developing a single-page implementation ‘Logic Model’ in 4 study phases (2 stakeholder workshops (N = 20); 10 stakeholder interviews). The framework method was used for analysis. Results Core elements of the EQUIP Logic Model include: (i) QI curriculum integration into national surgical curricula; (ii) resident-led, modular, team-based QI projects; (iii) development of a national web-platform as QI projects library; (iv) a train-the-trainers module to develop attendings as QI mentors; and (v) knowledge transfer activities (e.g., peer-reviewed publications of residents’ QI projects). Conclusions ToC methodology was useful in developing a stakeholder-driven, actionable implementation plan for the national scale-up of EQUIP in the UK.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 11 Dec 2020 00:48
Last Modified: 13 May 2021 15:56
URI: https://ueaeprints.uea.ac.uk/id/eprint/77955
DOI: 10.1016/j.amjsurg.2020.12.007

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