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Residents’ perspective of quality improvement and patient safety education in Canadian emergency medicine residency programs

  • Sachin V. Trivedi (a1), Riley J. Hartmann (a1), Justin N. Hall (a2), Laila Nasser (a3), Danielle Porplycia (a4), Edmund S. H. Kwok (a5) and Lucas B. Chartier (a2) (a4)...

Abstract

Objectives

Quality improvement and patient safety (QIPS) competencies are increasingly important in emergency medicine (EM) and are now included in the CanMEDS framework. We conducted a survey aimed at determining the Canadian EM residents’ perspectives on the level of QIPS education and support available to them.

Methods

An electronic survey was distributed to all Canadian EM residents from the Royal College and Family Medicine training streams. The survey consisted of multiple-choice, Likert, and free-text entry questions aimed at understanding familiarity with QIPS, local opportunities for QIPS projects and mentorship, and the desire for further QIPS education and involvement.

Results

Of 535 EM residents, 189 (35.3%) completed the survey, representing all 17 medical schools; 77.2% of respondents were from the Royal College stream; 17.5% of respondents reported that QIPS methodologies were formally taught in their residency program; 54.7% of respondents reported being “somewhat” or “very” familiar with QIPS; 47.2% and 51.5% of respondents reported either “not knowing” or “not having readily available” opportunities for QIPS projects and QIPS mentorship, respectively; 66.9% of respondents indicated a desire for increased QIPS teaching; and 70.4% were interested in becoming involved with QIPS training and initiatives.

Conclusions

Many Canadian EM residents perceive a lack of QIPS educational opportunities and support in their local setting. They are interested in receiving more QIPS education, as well as project and mentorship opportunities. Supporting residents with a robust QIPS educational and mentorship framework may build a cohort of providers who can enhance the local delivery of care.

RésuméObjectif

L'acquisition de compétences en matière d'amélioration de la qualité et de la sécurité des patients (AQSP) gagne en importance en médecine d'urgence (MU) et fait maintenant partie du référentiel de CanMEDS. Une enquête a été menée dans le but de déterminer le point de vue des résidents en MU, au Canada, sur le degré de formation en AQSP et de soutien qui leur est offert.

Méthode

Un questionnaire sous forme électronique a été envoyé à tous les résidents en MU, inscrits aux parcours de formation du Collège royal des médecins et chirurgiens du Canada ou du Collège des médecins de famille du Canada. Le formulaire se composait de différents types de question : à choix multiple, sur une échelle de Likert ou en texte libre, et visait à évaluer le degré de connaissances des résidents en matière d'AQSP, les possibilités de projets ou de mentorat en AQSP à l’échelle locale ainsi que le désir d'une formation approfondie en AQSP et d'une participation accrue.

Résultats

Sur 535 résidents en MU, 189 (35,3%) ont rempli le questionnaire; ensemble, ils représentaient les 17 écoles de médecine et 77,2% des répondants étaient inscrits au parcours du Collège royal. Les réponses se répartissaient comme suit : 17,5% des participants ont indiqué que l'enseignement de l'AQSP faisait partie intégrante du programme de résidence; 54,7% ont déclaré qu'ils connaissaient quelque peu ou très bien l'AQSP; 47,2% et 51,5% ont indiqué, respectivement, ne pas être au courant des possibilités de projets ou de mentorat en AQSP, ou encore ne pas s'en voir offrir en temps opportun; 66,9% ont fait état du désir de recevoir davantage d'enseignement en AQSP, et 70,4% ont manifesté de l'intérêt pour participer à de la formation ou à des initiatives en AQSP.

Conclusion

Bon nombre de résidents en MU au Canada estiment ne pas recevoir suffisamment de formation en AQSP ou de soutien dans leur milieu local. Ils aimeraient avoir davantage de formation, et se voir offrir plus de possibilités de projets ou de mentorat en AQSP. Le fait de soutenir les étudiants par un référentiel solide de formation et de mentorat en AQSP est susceptible de favoriser la constitution d'une cohorte de fournisseurs capables d'améliorer la prestation des soins à l’échelle locale.

Copyright

Corresponding author

Correspondence to: Dr. Sachin Trivedi, Department of Emergency Medicine, University of Saskatchewan, Room 2646, Royal University Hospital, 103 Hospital Drive, Saskatoon, SKS7N 0W8; Email: svt882@mail.usask.ca

References

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Residents’ perspective of quality improvement and patient safety education in Canadian emergency medicine residency programs

  • Sachin V. Trivedi (a1), Riley J. Hartmann (a1), Justin N. Hall (a2), Laila Nasser (a3), Danielle Porplycia (a4), Edmund S. H. Kwok (a5) and Lucas B. Chartier (a2) (a4)...

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