Academia.eduAcademia.edu

Teaching quality improvement in family medicine

2012, Education for Primary Care

Abstract

INTRoDUCTIoN Quality improvement (QI) includes the combined and continuous efforts of healthcare professionals, patients and their families, researchers, payers, planners and educators to make changes that will lead to better patient outcomes, system performance and professional development. 1 QI needs to be taught at all levels of medical education and in all aspects of medical care. 2 In family medicine, quality of healthcare extends to all aspects of family doctors' work: primary care management, community orientation, specific problem-solving skills, comprehensive approach, personcentred care and holistic approach. 3 The Educational Agenda developed by the European Academy of Teachers in General Practice/Family Medicine (EURACT) 4 covers most of these aspects. However, it is not clear if this agenda includes techniques and competencies of QI. Namely, QI as a separate topic is not specifically mentioned or incorporated in the agenda. This is in contrast with the document set out in the USA by the Accreditation Council for Graduate Medical Education (ACGME) in 1999 involving 'practice-based learning and improvement' as the centre of six doctors' core competences. 5 So what happens within the different European countries? Until now, very little was known about the inclusion, content and outcomes of teaching QI topics within the medical curricula in the various countries. 6-11 Engels et al published an extensive overview of the situation of teaching QI in the Netherlands in 2007. 2 A teaching QI working group was formed in 2008 as part of the European Association for Quality and Safety in General Practice/Family Medicine (EQuiP; a WoNCA Europe network organisation). one of the aims of this group was to provide a comprehensive overview of how and at which levels QI is actually taught in European countries. This stimulated the discussion on themes and topics that should be taught and at what educational level they could be introduced in the medical teaching curriculum.