12909_2011_536_MOESM2_ESM.DOC - Additional File 2 Summary...

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Additional File 2: Summary of Included Studies Content Area: Quality Improvement (QI) Gould et. al. (2002) Aims: Examination of impact of a QI curriculum on educational outcomes and effects of student projects on quality of care. Setting: US, primary care, 77 2 nd year medical students: audit of Type II diabetes care. Design: Mixed methods. Quantitative pre and post training questionnaire and assessment of activity on both process and outcome indicators at the practice level pre and post intervention. Qualitative methods for attitudinal assessment of activity. Outcome measures Results ALM Attitudes towards QI assessed by post intervention evaluation survey: frequencies and examination of qualitative content. Post intervention evaluation survey frequencies: 43% reported appreciation of QI (32% neutral), 45% agreed chart audit beneficial to office practice: 35% felt beneficial to patient (31% felt not of benefit). Qualitative content analysis: Students recognised importance of well organised charts and potential benefits of QI in improving care. AET Attitudes towards the QI project assessed by post intervention evaluation survey: frequencies and examination of qualitative content. Post intervention evaluation survey frequencies: 42% did not consider project a valuable learning experience (43% neutral). Qualitative content analysis: reported frustration with the activity itself and concern about time taken for the project. Henley (2002) Aims: Evaluation of knowledge, skills and attitudes in medical students undertaking QI module. Setting: US, primary care, 30 3 rd year medical students: audit of Type II diabetes care. Design: Mixed methods. Quantitative: skill assessed by completion of project and ability to develop improvement recommendations; knowledge assessed by 6 question non- graded quiz on completion of project; Attitudes assessed by 5 point Likert scale survey on completion of project. Qualitative- focus group interviews with 3 QI coordinators. Outcome measures Results AET Distribution of levels of satisfaction with module revealed by evaluation survey. Themes generated by focus group interviews with QI co- ordinators Levels of satisfaction with module: 71 % agreed performing audits was useful (0% disagreed), 50% agreed that developing an improvement plan was a practical learning experience (17% disagreed), 50% agreed that project provided opportunity to influence care (8% disagreed) and 71% felt that it was an appropriate activity at this stage in their course (8% disagreed). Focus group themes: Students more receptive to the idea of QI when presented as important in improving patient outcomes and satisfaction. Morrison & Sullivan (1993) Aims: Evaluation of the first year of QI exercise addressing audit. Setting: UK, primary care, 153 final (4 th ) year medical students: audit of Type II diabetes care.
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