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Semin Med Pract 
2006 Nov;42(11):52-57
Learning by doing: use of resident-led quality improvement projects to teach clinical practice improvement
Francis MD, Varney AJ

Two of these competencies—practice-based learning and improvement (PBLI) and systems-based practice (SBP)—embody concepts and skills that are not well taught in traditional residency curriculum. Competency in these areas requires physicians to document, review, assess, and improve clinical practice. This article describes an ongoing effort of 1 internal medicine residency program to teach PBLI and SBP using active resident participation in quality improvement (QI) projects as the focus of the learning experience. Lessons learned and insights gained from the authors’ 5-year experience with this QI curriculum are shared. Examples of specific resident QI projects are briefly noted and will be the focus of more in-depth reports to follow in future articles.

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