HOW TO IMPROVE QUALITY: “DO I EDUCATE EVERYONE, EVERY YEAR? ” Jarrod Dumpe, MD Assistant Professor, Mercer University Medical Center Navicent Health Macon, Georgia Southeastern Fracture Symposium 2019
ASSUMPTION INCREASED EDUCATION/KNOWLEDGE LEADS TO INCREASED QUALITY
KNOWLEDGE GROWTH • Knowledge Doubling Curve • Created by Buckminster Fuller in 1982 • Not all knowledge areas double at the same rate • Current predictions are that ALL knowledge is updated every decade • Exponential growth is only expected to increase
QUALITY AND EDUCATION • Do I educate? And if so, when and where? • Time requirement • In clinic? • In the OR? • At courses?
QUALITY AND EDUCATION • Do I educate? And if so, who do I educate? • Residents • Fellows • Xray techs • Scrub Techs • Nurses
QUALITY AND EDUCATION • I am going to educate, now what? • Know your learner • Types of Learners: • Most are some degree of all 3, but lean towards one predominantly • Audio • Visual • Tactile
QUALITY AND EDUCATION • I am going to educate, how do I teach? • Didactic • Simulation • Virtual Reality • Cadaver • OR Theatre
QUALITY AND EDUCATION • I am educating; How do I assess outcomes? • Feedback (Reaction) • Test Scores (Learning) • Milestones (Behavior) • Surgical table set up (Behavior) • Radiation exposure (Behavior/Results) • Measurements of Quality (Results) • Dependent on what your initial goal was
TAKE HOME QUESTIONS • Am I going to educate? • Who am I going to educate? • How do they learn? • What methods should I use to teach them? • How do I assess how successful I was in what I set out to accomplish?