Continuity Clinic Practice Feedback Curriculum for Residents: A Model for Ambulatory Education

ABSTRACT Background  There is an unmet need for formal curricula to deliver practice feedback training to residents. Objective  We developed a curriculum to help residents receive and interpret individual practice feedback data and to engage them in quality improvement efforts. Methods  We created a framework based on resident attribution, effective metric selection, faculty coaching, peer and site comparisons, and resident-driven goals. The curriculum used electronic health record–generated resident-level data and disease-specific ambulatory didactics to help motivate quality improvement efforts. It was rolled out to 144 internal medicine residents practicing at 1 of 4 primary care clinic sites from July 2016 to June 2017. Resident attitudes and behaviors were tracked with presurveys and postsurveys, completed by 126 (88%) and 85 (59%) residents, respectively. Data log-ins and completion of educational activities were monitored. Group-level performance data were tracked using run charts. Results  Survey ...