Practice-based Learning & Improvement Project
CONFIDENTIAL (Peer Review Document)
PURPOSE1:
 According to ACGME requirements programs and fellowships must integrate the 6 core
competencies into the curriculum. One of the core competencies is Practice Based Learning
Improvement (PBLI).
 PBLI is important because:
1) Physicians should have systematic approaches for monitoring and improving their
practice.
2) Physicians must be able to recognize the need for positive change and instigate it rather
than react to changes made by others.
3) Positive small changes in small systems, such as an individual physician’s practice, can
positively impact larger systems.
 This competency requires that residents learn to investigate and evaluate their own patient care,
appraisal and assimilation of scientific evidence, and improvements in patient care. PBLI can be
taught and assessed through a variety of methods including mortality/morbidity and case
conferences, practice-based small group learning activities, evidence based medicine activities
and practice base learning improvement projects.
 In order to document PBLI and Quality Improvement activities (QI), each program is required to
complete a minimum of one practice improvement project on an annual basis.
 The Common PIF requests a description of one example and the outcome of a QI activity in
which either one or more residents and one faculty mentor participated.
PROGRAM INFORMATIN FORM (PIF) QUESTION1:
“Give one example and the outcome of a planned quality improvement activity or project in which at
least one resident participated in the past year that required the resident to demonstrate an ability to
analyze, improve and change practice or patient care. Describe planning, implementation, evaluation
and provisions of faculty support and supervision that guided this process. Limit your response to 400
words”
CHARACTERISTICS OF ACCEPTABLE PBLI PROJECTS2:
a) Resident/Fellows are involved in development or ongoing work of PI project
b) The project is based on at least one of the competencies
c) The project is either educational or clinical or research-based
d) The project includes:
a. completed initial measurement of one outcome,
b. plan for improvement,
c. plan for how and when to re-measure the impact of the intervention.
e) Clinical measurements must include patients cared for by the residents/fellows.
f) One resident/fellow (or a group of residents/fellows) and at least one faculty/mentor must be
involved in planning, implementation/intervention and evaluation of the project.
1. ACGME Institutional competencies http://www.acgme.org/outcome/comp/compCPRL.asp
2. Internal review of KUMC program ACGME citations and written feedback by RRC.s
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Practice-based Learning & Improvement Project
CONFIDENTIAL (Peer Review Document)
PBLI TEMPLATE CHECKLIST -The following is a template to guide you through a PBLI project:
1. Background
Complete background section
including:
o program, (complete section 1.1)
o project title (complete section 1.2)
o list project members(complete section 1.3)
2. Project Conception
Hold a meeting with resident(s) and faculty to identify a problem for the project
(complete section 2.1)
Designate project area of focus (complete section 2.2)
Describe the problem in narrative form (complete section 2.3) - Word limit 250
Determine if HSC approval will be required (complete section 2.4) - Karen Blackwell
913-588-0942
3. Measurement Tools
Baseline measure(s) documentation:
o
o
Identify general outcome measures/tools(complete section 3.1)
Narrative of specific tools and how they were used in data collection (complete section
3.2)
4. Project Timeline
Document estimated duration of project (complete section 4.1)
Identify timeline for data collection:
o Document planned baseline data collection (complete section 4.2)
o Document planned outcomes data collection (complete section 4.3)
5. Formal Project Approval
Present to appropriate department committee responsible for resident research
o Document approval date(complete section 5.1)
o If appropriate HSC approval # (complete section 5.2)
6. Baseline Data Collection/Analysis
Collect baseline data(complete section 6.1)
7. Plan of Intervention
Hold a meeting with resident(s) and faculty to develop a plan of intervention for the
project (complete section 7.1) This can be the same meeting as the problem
identification meeting (see section 2.1)
Documentation of Intervention:
o
write a short narrative description of goal(s) & anticipated outcome(s) (complete section
7.2)
o write a short description of intervention (complete section 7.3)
8. Outcomes Data Collection/Analysis
Implement intervention-documenting start date & end date or ongoing status
(complete section 8.1)
Document outcomes/collect post-test data (complete section 8.2)
9. Analysis/ Conclusions
Analyze data and write results conclusions in narrative form (complete section 9.1)
Write a short narrative of future steps for continued improvements(complete section 9.2)
10. Presentation/Evaluation
Present results to resident evaluation/research committee or other appropriate
committee (complete section 10.1)
o
Recommended for publication (complete section 10.2)
Turn in completed PBLI evaluation form signed by program director (section 10.3-10.4)
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Practice-based Learning & Improvement Project
CONFIDENTIAL (Peer Review Document)
o
Get a copy of the completed PBLI template and Presentation evaluation form signed by
the program director and to in the GME office
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Practice-based Learning & Improvement Project
CONFIDENTIAL (Peer Review Document)
PBLI TEMPLATE
1. BACKGROUND
1.1. Training Program: Click here to enter text.
1.2. Title of Project: Click here to enter text.
1.3. Members involved in the project must include residents and at least 1 faculty member.
PGY1 Resident/Fellow Name(s):
Click here to enter text.
PGY2 Resident/Fellow Name(s):
Click here to enter text.
PGY3 Resident/Fellow Name(s):
Click here to enter text.
PGY4 Resident/Fellow Name(s):
Click here to enter text.
PGY5 Resident/Fellow Name(s):
Click here to enter text.
PGY6 Resident/Fellow Name(s):
Click here to enter text.
Other Resident/Fellow Name(s):
Click here to enter text.
Faculty (mentor/s):
Click here to enter text.
Others:
Click here to enter text.
2. PROJECT CONCEPTION
2.1. A formal meeting should occur with residents and faculty (at least one of each).
Date of Meeting: Click here to enter a date.
2.2. The designated type of project can focus on one of the three areas:
2.3. Description of the problem (in narrative form) - 250 word limit
Click here to enter text.
2.4. Determine if project will require HSC approval and complete appropriate application.
HSC Forms
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Practice-based Learning & Improvement Project
CONFIDENTIAL (Peer Review Document)
3. MEASUREMENT TOOLS
3.1. Identify the baseline tools for measurement of the problem (examples include):
Record/chart review or observation (incidence rates)
Survey/(i.e. patient, learner)
Clinical outcomes data
Compliance with administration regulations
In-training exam scores
Other measurements (include a description of the measurement below)
Click here to enter text.
Use the measure identified above to collect data to establish a baseline measure.
3.2. Include a short narrative of specific tool (selected above) used and how measures will
be used in data collection.
Click here to enter text.
4. PROJECT TIMELINE
4.1. Planned duration of Project:
months)
(for example: ranging 3-6
4.2. What is the timeframe for baseline data collection:
4.3. What is the timeframe for outcomes data collection:
5. FORMAL PROJECT APPROVAL
5.1. Department Committee approval (responsible for resident research)
Date: Click here to enter a date.
5.2. If appropriate HSC Approval project #
( refer to section 2.4)
6. BASELINE DATA COLLECTION
6.1. Document Baseline data (provide written summary or attach)
Click here to enter text.
7. PLAN OF INTERVENTION
7.1. A formal meeting should occur with resident(s) and mentor(s).
Date of Meeting: Click here to enter a date.
7.2. Identify the goal and anticipated outcome:
Click here to enter text.
7.3. Description of intervention for improvement in narrative form:
Click here to enter text.
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Practice-based Learning & Improvement Project
CONFIDENTIAL (Peer Review Document)
8. OUTCOMES DATA COLLECTION
8.1. Implement Intervention
Date Intervention initiated:
Click here to enter a date.
Click here to enter a date. OR
8.2. Document Outcomes/post test data (provide written summary or attach)
Click here to enter text.
9. ANALYSIS/CONCLUSIONS
9.1. Provide narrative of analysis and conclusions and application to your practice.
Click here to enter text.
9.2. Provide a short narrative of future steps for continued improvement
Click here to enter text.
10. PRESENTATION/EVALUATION
10.1.
Date of Presentation to Department Committee responsible for research:
Click here to enter a date.
10.2.
Project recommended for publication by committee
Completed copy of PBLI evaluation signed by program director attached
10.3.
10.4.
Date that copy of PBLI evaluation signed by program director sent to Lisa
McClain in GME office: Click here to enter a date.
PIF Question
“Give one example and the outcome of a planned quality improvement activity or project in which at
least one resident participated in the past year that required the resident to demonstrate an ability to
analyze, improve and change practice or patient care. Describe planning, implementation, evaluation
and provisions of faculty support and supervision that guided this process. Limit your response to 400
words”
The PBLI Template was used to document resident faculty involvement in planning, implementation and
evaluation through the process of the PBLI project.
PROBLEM:
Click here to enter text.
PLANNING/BASELINE DATA:
Click here to enter text.
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Practice-based Learning & Improvement Project
CONFIDENTIAL (Peer Review Document)
INTERVENTION/GOAL:
Click here to enter text.
EVALUATION
Click here to enter text.
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