Quality assurance activities as a part of a residency training program: an examination of the potentials.
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Biomedical subjects
Publications and source records attributed to L J Filiatrault.
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Although there is a preponderance of articles on behavioral objectives in education, few address the process by which objectives are developed and agreed upon in a residency training program. The process by which objectives are developed is critical to their eventual implementation. The development and implementation of objectives are particular concerns in family practice residencies which, because of their broad based content, are uniquely dependent on other departments for portions of the residency training program. This paper describes an approach for developing curriculum objectives in a Family Practice Residency Program which emphasized the personal involvement of individuals who would be instrumental in implementing the curriculum, such as program directors, coordinators of "other" specialty rotations,and resident representatives. This approach, although time-consuming, resulted in well-formulated objectives that could be implemented. Further, this approach allowed for intensive interaction among various faculty members representing many fields, resulting in increased mutual understanding and appreciation.
An Automated Health Problem Inventory was designed to monitor resident exposure, provide access to subgroups of the patient population, allow for study of patient care patterns over time, and aid in health-care evaluation studies. Major design steps such as choosing data and codes are discussed. Data collection documents and data reports are described. Data were collected over a 12-month period in two clinical settings - a model clinic in a residency program and a private practice clinics. These data are displayed by categories of problems and frequency of individual problems. The authors comment on the human and procedural support needed to make a data system useful.