Introducing practice-based learning and improvement ACGME core competencies into a family medicine residency curriculum

Jt Comm J Qual Saf. 2003 May;29(5):238-47. doi: 10.1016/s1549-3741(03)29028-6.


Background: The Accreditation Council for Graduate Medical Education (ACGME) recommends integrating improvement activities into residency training. A curricular change was designed at the Department of Family and Community Medicine, University of Louisville, to address selected ACGME competencies by incorporating practice-based improvement activities into the routine clinical work of family medicine residents.

Methods: Teams of residents, faculty, and office staff completed clinical improvement projects at three ambulatory care training sites. Residents were given academic credit for participation in team meetings. After 6 months, residents presented results to faculty, medical students, other residents, and staff from all three training sites. Residents, staff, and faculty were recognized for their participation.

Program evaluation: Resident teams demonstrated ACGME competencies in practice-based improvement: Chart audits indicated improvement in clinical projects; quality improvement tools demonstrated analysis of root causes and understanding of the process; plan-do-study-act cycle worksheets demonstrated the change process.

Conclusions: Improvement activities that affect patient care and demonstrate selected ACGME competencies can be successfully incorporated into the daily work of family medicine residents.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Academic Medical Centers
  • Accreditation / standards*
  • Ambulatory Care / standards*
  • Clinical Competence*
  • Community Medicine / education*
  • Community Medicine / standards
  • Curriculum
  • Education, Medical, Graduate / standards*
  • Family Practice / education*
  • Family Practice / standards
  • Humans
  • Internship and Residency / standards*
  • Kentucky
  • Medical Audit
  • Patient Care Team / standards
  • Problem-Based Learning
  • Program Evaluation
  • Total Quality Management / organization & administration*
  • Universities