Evaluating the implementation of a longitudinal cocurricular experiential quality improvement training programme for undergraduate medical students

作者：Katherine Bailey, Elina Farahani, Sunny Raval, Ke Xin Lin, Mohamed Farhan Nasser, Jonathan Hersh, Farah Khan, Shaan Chugh, Alison Freeland, Amir Ginzburg, Nazia Sharfuddin · 发表于：BMJ Open Quality · 年份：2025 · DOI：10.1136/bmjoq-2025-003378 · 被引用次数：1 · 研究领域：Innovations in Medical Education、Simulation-Based Education in Healthcare、Patient Safety and Medication Errors

Quality improvement and patient safety (QIPS) is a core competency in undergraduate medical education. While didactic and experiential learning enhance QIPS knowledge and skills, there are limited experiential opportunities. This study aims to evaluate the feasibility and effectiveness of a longitudinal didactic and experiential student-led programme, Quality Improvement Experiential Student Training (QuEST). QuEST was piloted during year 1, where learners completed online modules, didactic seminars, an experiential project and mentorship meetings with the programme's faculty chair (Plan-Do-Study-Act [PDSA] 1). We implemented a formal leadership structure, adapted the curriculum, and changed mentorship meetings to student-led in year 2 (PDSA 2). In response to reduced learner satisfaction, we reintroduced faculty-led mentorship meetings in year 3 as well as revised the experiential project screening process and decreased the cohort size to enhance programme operations. The outcome was self-reported confidence in completing a QIPS project, which we aimed to achieve at least 60% of learners reporting confidence each year. Fourteen learners were enrolled in year 1, 45 in year 2 and 18 in year 3. After year 1, 86% of learners reported confidence in completing a QIPS project (from 39% preprogramme; p<0.01), 64% in year 2 (from 16%; p<0.01) and 75% in year 3 (from 28%; p<0.01). Programme satisfaction was 4.25/5 in year 1, 4.27/5 in year 2 and 4.75/5 in year 3. Strengths included ex...