Is There a Relationship Between High-Quality Performance in Major Teaching Hospitals and Residents’ Knowledge of Quality and Patient Safety?

Pingleton, Susan K.; Horak, Bernard J.; Davis, David A.; Goldmann, Donald A.; Keroack, Mark A.; Dickler, Robert M.

doi:10.1097/acm.0b013e3181bb1d03

Cited by 16 publications

(15 citation statements)

References 14 publications

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“…Though prior work has illustrated that resident safety learning occurs largely through informal curricula and means, the alignment of educational content with hospital initiatives may serve to create measurable changes in patient outcomes 18. In addition, ongoing longitudinal assessment would be an ideal method to demonstrate the achievement and maintenance of competence, as students and trainees progress through the various stages of training.…”

Section: Discussionmentioning

confidence: 99%

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation

et al. 2015

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“…With the recent growing concern for safety and quality of patient care, performance on this patient simulation format seems worthy of further exploration. [5][6][7] Furthermore, a demonstration of a similar relationship between CCS and length of postgraduate training, provides validity for the CCS component and can support additional uses beyond a contribution to the total test score. Additionally, the effect of postgraduate training on CCS and Step 3 overall may provide useful information for the current national debate on how to redesign internal medicine residency training and the optimal length of training.…”

Section: Objectivementioning

confidence: 99%

The Impact of Postgraduate Training on USMLE® Step 3® and its Computer-Based Case Simulation Component

et al. 2011

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“…The author received no financial support for the research, authorship, and/or publication of this article.Can Low-Performing Hospitals Train High-Performing Residents?Mark W. Legnini, DrPH1 …”

mentioning

confidence: 98%

Can Low-Performing Hospitals Train High-Performing Residents?

Legnini

2011

Am J Med Qual

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Training residents to be high-performing physicians is key to transforming the US health care system. Current policies to improve the performance of health care practitioners and the institutions in which they practice depend primarily on financial incentives aimed at changing the behavior of fully trained professionals. But there is no guarantee that the effects of these financial incentives "trickle down" to influence residents. A 2009 study 1 comparing residents' knowledge of quality and safety in higher versus lower performing major teaching hospitals found that those hospitals' quality and safety improvement mechanisms were detached from the educational enterprise. That makes these financial incentives much less effective than intervening directly in the workforce "pipeline" to influence residents during their training and professional socialization.The 2010 Medicare Payment Advisory Commission (MedPAC) Report to the Congress: Aligning Incentives in Medicare cited research that internal medicine residency programs had limited focus on skills such as quality measurement and improvement, evidence-based medicine, multidisciplinary teamwork, care coordination across settings, and health information technology. These skills are important for producing the health professionals we need for a high-performance delivery systemone that provides high quality, high value, and efficiently delivered services. 2(p103) To improve medical care, it will be necessary to change the culture of programs that prepare professionals who will organize, manage, and practice in future high-performing health care organizations.Medicare funding for graduate medical education (GME) in 2009 totaled $9.5 billion. MedPAC's 2010 report recommended that the Secretary of Health and Human Services "develop a GME payment system that fosters greater accountability for Medicare's GME dollars and rewards education and training that will improve the value of our health care delivery system." 2(p105) In addition to Medicare support for GME, 41 states and the District of Columbia made Medicaid GME payments totaling $3.78 billion in 2009. With state governments under enormous financial pressure, a "value

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Is There a Relationship Between High-Quality Performance in Major Teaching Hospitals and Residents’ Knowledge of Quality and Patient Safety?

Cited by 16 publications

References 14 publications

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation

The Impact of Postgraduate Training on USMLE® Step 3® and its Computer-Based Case Simulation Component

Can Low-Performing Hospitals Train High-Performing Residents?

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