2. Discuss the role of experiential learning and informal learning in Practice based learning and improvement
3. Discuss the basic knowledge and skills required for successful PBLI
4. Design strategies for teaching and assessment of PBLI
1. Supervised direct patient care activbities
2. Exit rounds
3. Mortality/morbidity and case conferences
4. Practice-based small group learning programs (www.fmpe.org/en/programs/pbsg.html)
5. Evidence-based medicine curriculum
6. Logs and learning plans
7. Improvement projects
8. "Residents as teachers" curriculum
Some assessment approaches for PBLI include:
1. Check lists
2. Portfolio
3. Improvement project
4. Medical record review
5.Performance ratings
6. EBM skills assessment
7. QI knowledge improvement tool
8. OSTE - Objective Structured Teaching Examination
9. Learning plan
Key in implementing and assessing PBLI is the faculty who provide powerful role models.
Readings:
- Ogrinc G, Hedrick LA, Morrison LJ, Foster T. Teaching and assessing resident competence in Practice Based Learning and Improvement. J of General Internal Medicine, 2004; 19:496-500.
- Chapter 11 in Evaluation of Clinical Competence
Competence in Improving Systems of Care through Practice Based Learning and Improvement Pg 149-178
3. Moore DE, Pennington FC. Practice-based learning and improvement. JCEHP 2003; S73-80.
4. Lynch DC, Swing SR, Horowitz SD, Holt K, Messer JV. Assessing practice-based learning and improvement. Teaching & learning in Medicine 2004; 16: 185-92.
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Assign #5
Design a strategy for teaching and assessment of PBLI for trainees.Relate the activity to teaching the skills of lifelong learning. |
