Quality As A Habit: Quality Improvement Training Curriculums In Obstetrics and Gynecology [6M]

Abstract

INTRODUCTION: With the advancement of To Err Is Human and Crossing the Quality Chasm, medical institutions have recognized the need to implement succinct Quality Improvement (QI) programs into the already packed Obstetrics and Gynecology (Ob/Gyn) residency curricula. While several residents conduct projects to teach quality improvement (QI), establishing QI methodology as a habit in Ob/Gyn requires several further integrated measures in the curricula. METHODS: This study aims to conduct a qualitative review of 84 articles in the last 30 years of literature through scientific databases on topics regarding Ob/Gyn QI training, outcomes, and education in order to propose a novel integrated framework for education in Ob/Gyn. RESULTS: Of 321 abstracts determined, 84 articles were analyzed. There are currently multiple training methods including simulations, audio and video seminars and webinars are in practice to improve QI. The review establishes methods to efficiently integrate such models into day-to-day teaching rather than single projects. The framework suggests for reducing gaps between determinants for improvements in QI training, the emerging characteristics of a system that enables trainees to learn hands on skills and broaden their horizon to predict upcoming challenges, and the measures of qualitative and quantitative efficiency in Ob/Gyn. CONCLUSION: The proposed integrated framework provides an evidence-based curriculum for improvement of QI training in the Ob/Gyn setting. In turn, this will assist in the training of Ob/Gyn residents to use QI measures as a habit, rather than a method of action.