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Summary
Practice-based Learning and Improvement

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.  Residents are expected to develop skills and habits to be able to meet the following goals:

  1. identify strengths, deficiencies, and limits in one’s knowledge and expertise
  2. set learning and improvement goals
  3. identify and perform appropriate learning activities
  4. systematically analyze practice, using quality improvement methods, and implement changes with the goal of practice improvement
  5. incorporate formative evaluation feedback into daily practice
  6. locate, appraise, and assimilate evidence from scientific studies related to their patients’ health problems
  7. use information technology to optimize learning
  8. participate in the education of patients, families, students, residents and other health professionals

[as further specified by the RC]

Key Components
  • Residents must take primary responsibility for life long learning and their own practice improvement, such as:
    • learning basic steps and techniques in quality improvement
    • using information technology to acquire new knowledge
    • analyzing the quality of care that their patients receive within the context of the their patient population as well as understanding the context of the larger population of patients
  • Appraisal and assimilation of the scientific literature (EBM), such as:
    • using scientific studies to inform decisions about diagnosis or care
    • critically evaluating  scientific studies and determining their applicability to patient care
    • using information technology.
  • Implementing improvement by:
    • using a quality improvement activity (i.e. Plan-Do-Study-Act cycle) to improve patient care
    • disseminating results of successful quality improvement projects to the larger community
  • Actively participate in the education of patients and their families, medical students, residents and other health professionals
 
© 2006 ACGME
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