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American Journal of Medical Quality
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Teaching Quality Improvement: A Collaboration Project Between Medicine and Engineering

Prathibha Varkey, MBBS, MPH, MHPE

Division of Preventive Occupational and Aerospace Medicine, Mayo Clinic College of Medicine, Varkey.prathibha{at}mayo.edu

Sudhakar P. Karlapudi, MBBS

Division of Preventive Occupational and Aerospace Medicine, Mayo Clinic College of Medicine

Kevin E. Bennet, BSChE, MBA

Division of Engineering, Mayo Clinic, Rochester, Minnesota

Systems failures and their impact on quality and cost have fueled the need for a paradigm shift in medical education. Despite a growing interest in health care quality improvement (QI), few physician educators possess the necessary expertise in either systems engineering or QI. In this article, we describe a novel teaching partnership between engineers and physicians in implementing a 3-week elective QI training curriculum on health care QI. Nine learners, 2 preventive medicine and 7 endocrinology fellows, participated in this rotation. Key concepts taught by the 4 engineering faculty include stake-holder analysis, root cause analysis, process mapping, failure mode and effects analysis, resource management, negotiation, and leadership. Learner scores on the QI knowledge application tool improved significantly (P < .004) from 7.33 prerotation to 11.89 postrotation. Further research is necessary to study the effectiveness, efficacy, and scope of using engineering expertise in QI education initiatives. (Am J Med Qual 2008;23;296-301)

Key Words: engineering • curriculum • quality improvement • education • collaboration

American Journal of Medical Quality, Vol. 23, No. 4, 296-301 (2008)
DOI: 10.1177/1062860608317764
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Home page
 American Journal of Medical QualityHome page
P. Varkey, S. Karlapudi, S. Rose, and S. Swensen
A Patient Safety Curriculum for Graduate Medical Education: Results From a Needs Assessment of Educators and Patient Safety Experts
American Journal of Medical Quality, May 1, 2009; 24(3): 214 - 221.
[Abstract] [PDF]


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