Quality in residency training: toward a broader, multidimensional definition

Academic Medicine : Journal of the Association of American Medical Colleges
R L ElliottR Yudkowsky

Abstract

The authors propose a general definition of quality in residency train ing and describe a process for developing the definition. The definition and process go beyond the usual concerns with educational structures and processes and are customer-centered, outcomes-oriented, and consistent with views of quality widely applied in health care, manufacturing, and other businesses. The process begins by listing some of the more important customers of a training program--trainees, patients, funding agencies, health care employers, medical schools and teaching hospitals, and professional organizations--and then considers the needs of those customers. The result is a definition of quality in residency training that is multidimensional and includes aspects of residency training related to the clinical proficiency of trainees, socioeconomic dimensions of training, and ethical concerns. While some measures exist to put this multidimensional definition of quality into operation, much work will be needed to make it useful for the training of residents.

Citations

Jun 10, 2011·BMC Medical Education·Stephen D SissonUNKNOWN Johns Hopkins University School of Medicine
Apr 15, 2000·Annals of Internal Medicine·R J SherertzE F Haponik
May 26, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Roy PhitayakornJerry M Shuck
Oct 14, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·R Yudkowsky, A Schwartz
Jan 29, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Peter M MurrayMary R Berquist
Jan 15, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Rachel YudkowskyAlan Schwartz
Jan 25, 2002·American Journal of Physical Medicine & Rehabilitation·James A SliwaHenry Betts
Jun 1, 1999·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·J YagerB Levy
Jul 1, 1997·The Joint Commission Journal on Quality Improvement·L A LeshanM Gottlieb

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