Teaching and assessing resident competence in practice-based learning and improvement

J Gen Intern Med. 2004 May;19(5 Pt 2):496-500. doi: 10.1111/j.1525-1497.2004.30102.x.


We designed, implemented, and evaluated a 4-week practice-based learning and improvement (PBLI) elective. Eleven internal medicine residents from 2 separate residency programs participated in the PBLI elective and 22 other residents comprised a comparison group. Residents in each group had similar pretest Quality Improvement Knowledge Application Tool scores; but after the PBLI elective, participant scores were significantly higher. Also, participants' self-assessed ratings of PBLI skills increased after the rotation and remained elevated 6 months afterward. In this curriculum, residents completed a project to improve patient care and demonstrated their knowledge on an evaluation tool in a way that was superior to nonparticipants.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Clinical Competence / standards*
  • Curriculum
  • Educational Measurement / methods*
  • Internal Medicine / education*
  • Internship and Residency*
  • Learning
  • Patient Care / standards
  • Self-Assessment