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

Elena Pallari, Zarnie Khadjesari, Shekhar Biyani, Sunjay Jain, Dominic Hodgson, James Green, Nick Sevdalis

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)
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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.
Original languageEnglish
Pages (from-to)269-277
Number of pages9
JournalThe American Journal of Surgery
Volume219
Issue number2
Early online date14 Nov 2019
DOIs
Publication statusPublished - Feb 2020

Keywords

  • Education
  • Evaluation
  • Pilot
  • Quality improvement
  • urology
  • NSQIP
  • SAFETY
  • AMERICAN-COLLEGE

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