Pilot implementation and evaluation of a national quality improvement taught curriculum for urology residents: Lessons from the United Kingdom

Elena Pallari; Zarnie Khadjesari; Chandra Shekhar Biyani; Sunjay Jain; Dominic Hodgson; James S A Green; Nick Sevdalis

doi:10.1016/j.amjsurg.2019.11.011

Pilot implementation and evaluation of a national quality improvement taught curriculum for urology residents: Lessons from the United Kingdom

Am J Surg. 2020 Feb;219(2):269-277. doi: 10.1016/j.amjsurg.2019.11.011. Epub 2019 Nov 14.

Authors

Elena Pallari¹, Zarnie Khadjesari², Chandra Shekhar Biyani³, Sunjay Jain⁴, Dominic Hodgson⁵, James S A Green⁶, Nick Sevdalis⁷

Affiliations

¹ Center for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, SE5 8AF, UK; MRC Clinical Trials and Methodology, University College London, London, WC1V 6LJ, UK. Electronic address: elena.pallari@kcl.ac.uk.
² School of Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK. Electronic address: z.khadjesari@uea.ac.uk.
³ Leeds Teaching Hospitals NHS Trust, Leeds, UK. Electronic address: eshekharbiyani@hotmail.com.
⁴ Leeds Teaching Hospitals NHS Trust, Leeds, UK. Electronic address: sunjayjain@nhs.net.
⁵ Portsmouth Hospitals NHS Trust, Hampshire, UK. Electronic address: dominichodgson@hotmail.com.
⁶ Bart's NHS Trust, Whipps Cross Hospital, Urological Department, Whipps Cross Road, London, E11 1NR, UK. Electronic address: james.s.a.green@nhs.net.
⁷ Center for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, SE5 8AF, UK. Electronic address: nick.sevdalis@kcl.ac.uk.

PMID: 31812255
DOI: 10.1016/j.amjsurg.2019.11.011

Abstract

Background: We report the immediate educational impact of a previously developed quality improvement (QI) curriculum for UK urology residents.

Materials and methods: Prospective pre/post-training evaluation, using the Kirkpatrick framework: residents' QI knowledge, skills and attitudes were assessed via standardized assessments. We report descriptive/inferential statistics and scales psychometric analyses.

Results: Ninety-eight residents from across the UK provided full datasets. Scale reliability was good (Cronbach-alphas = 0.485-0.924). Residents' subjective knowledge (Mpre = 2.71, SD = 0.787; Mpost = 3.97, SD = 0.546); intentions to initiate QI (Mpre = 3.65, SD = 0.643; Mpost = 4.09, SD = 0.642); attitudes towards doing QI (Mpre = 3.67, SD = 0.646; Mpost = 4.11, SD = 0.591); attitudes towards QI at work (Mpre = 3.80, SD = 0.511; Mpost = 4.00, SD = 0.495); and attitudes towards influencing QI (Mpre = 3.65, SD = 0.482; Mpost = 3.867, SD = 0.473) all improved post-training (all ps < 0.0001). Objective knowledge remained stable (58%-59%, p > 0.05). Residents' satisfaction was high.

Conclusions: Our novel QI training is educationally sound and feasible to deliver. Longitudinal evaluation and scalability are planned.

Keywords: Education; Evaluation; Pilot; Quality improvement; urology.

Publication types

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

MeSH terms

Adult
Clinical Competence*
Cohort Studies
Curriculum*
Education, Medical, Graduate / methods*
Female
Humans
Internship and Residency / standards
Male
Pilot Projects
Program Evaluation
Prospective Studies
Psychometrics
Quality Improvement*
United Kingdom
Urology / education*