Practice Improvement Modules

  • Craig NoronhaEmail author


There has been an increasing focus on quality improvement within the field of medicine. Until recently, the American Board of Internal Medicine required that physicians demonstrate involvement in a clinical quality improvement project. The Accreditation Council for Graduate Medical Education (ACGME) has also identified the need for residents to be trained in quality improvement and practice-based learning as tools and skills for their future clinical practice. The ACGME requires that internal medicine residents receive practice data at least semiannually and residents are expected to develop a practice-based plan for improvement based on these data sets. While there is no specific requirement for inpatient versus outpatient data, the ideal source for this information resides within the resident’s continuity clinic panel. This chapter will describe the utility of practice improvement modules for quality improvement within the clinic and to develop experience in quality improvement for all providers, including residents.


Quality improvement Practice improvement Medical education 


  1. 1.
    Mosser G, Frisch KK, Skarda PK, Gertner E. Addressing the challenges in teaching quality improvement. Am J Med. 2009;122(5):487–91.CrossRefPubMedGoogle Scholar
  2. 2.
    Varkey P, Karlapudi S, Rose S, Nelson R, Warner M. A systems approach for implementing practice-based learning and improvement and systems-based practice in graduate medical education. Acad Med. 2009;84(3):335–9.CrossRefPubMedGoogle Scholar
  3. 3.
    Langley G, Moen RD, Nolan KM, Nolan TW, Norman CL, Provost LP. The improvement guide: a practical approach to enhancing organizational performance 2009. 512 p.Google Scholar
  4. 4.
    Duffy FD, Lynn LA, Didura H, Hess B, Caverzagie K, Grosso L, et al. Self-assessment of practice performance: development of the ABIM Practice Improvement Module (PIM). J Contin Educ Health Prof. 2008;28(1):38–46.CrossRefPubMedGoogle Scholar
  5. 5.
    ABIM Announces Immediate Changes to MOC Program. Accessed 23 Apr 2017.
  6. 6.
    ACGME Program Requirements for Graduate Medical Education in Internal Medicine. Accessed 23 Apr 2017.
  7. 7.
    Boggan JC, Cheely G, Shah BR, Heffelfinger R, Springall D, Thomas SM, et al. A novel approach to practice-based learning and improvement using a web-based audit and feedback module. J Grad Med Educ. 2014;6(3):541–6.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Bernabeo E, Hood S, Iobst W, Holmboe E, Caverzagie K. Optimizing the implementation of practice improvement modules in training: lessons from educators. J Grad Med Educ. 2013;5(1):74–80.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Oyler J, Vinci L, Johnson JK, Arora VM. Teaching internal medicine residents to sustain their improvement through the quality assessment and improvement curriculum. J Gen Intern Med. 2011;26(2):221–5.CrossRefPubMedGoogle Scholar
  10. 10.
    AAIM: Overview of PIM Support. Accessed 23 Apr 2017.
  11. 11.
    Institute for Healthcare Improvemevvnt: How to Improve. Accessed 23 Apr 2017.
  12. 12.
    Institute for Healthcare Improvement: Plan-Do-Study-Act (PDSA) Worksheet. Accessed 23 Apr 2017.
  13. 13.
    Wolfe A. Institute of Medicine Report: crossing the quality chasm: a new health care system for the 21st century. Policy Polit Nurs Pract. 2001;2(3):233–5.CrossRefGoogle Scholar
  14. 14.
    Bohmer RMJ. The hard work of health care transformation. N Engl J Med. 2016;375(8):709–11.CrossRefPubMedGoogle Scholar
  15. 15.
    James BC, Lazar JS. Health system use of clinical programs to build quality infrastructure. Joint Commission Resources; 2007. p. 95–108.Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Boston University School of Medicine, Boston Medical CenterBostonUSA

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