Sustainability in quality improvement (SusQI): a case-study in undergraduate medical education

BMC Medical Education

Oliver Marsden¹  Philippa Clery²  Stuart d’Arch Smith³  Kathleen Leedham-Green⁴ 

[1] Bristol Medical School, University of Bristol, 1-5 Whiteladies road, Clifton, BS8 1NU, Bristol, UK;Bristol Medical School, University of Bristol, 1-5 Whiteladies road, Clifton, BS8 1NU, Bristol, UK;University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK;Centre for Sustainable Healthcare, Oxford, UK;Medical Education Research Unit, Imperial College London, London, UK;

关键词: Medical education;    Undergraduate;    Sustainable healthcare;    Environmental impacts;    Quality improvement;    SusQI;   

DOI  :  10.1186/s12909-021-02817-2

来源: Springer

【 摘 要 】

BackgroundThere is a pressing need for more sustainable healthcare. UK medical graduates are required to apply social, economic, and environmental principles of sustainability to their practice. The Centre for Sustainable Healthcare has developed a sustainability in quality improvement (SusQI) framework and educator’s toolkit to address these challenges. We aimed to develop and evaluate SusQI teaching using this toolkit at Bristol Medical School.MethodsWe facilitated a SusQI workshop for all third-year Bristol Medical School students. We used mixed methods including questionnaires, exit interviews and follow-up focus groups to evaluate the outcomes and processes of learning.ResultsStudents reported: improvements in knowledge, confidence, and attitudes in both sustainable healthcare and quality improvement; increased self-rated likelihood to engage in SusQI projects; and willingness to change practices to reduce environmental impact in their healthcare roles. Factors for successful teaching included: interactivity; collaboration and participation; and real-life, relevant and tangible examples of projects delivered by credible role models.ConclusionsStudents reported that SusQI education supported by the toolkit was effective at building knowledge and skills, and reframed their thinking on sustainability in quality improvement. Combining the two topics provided enhanced motivation for and engagement in both. Further research is needed on the clinical impacts of SusQI learning.

【 授权许可】

CC BY