There has been no formal, standardized curriculum for neurosurgical resident education in quality improvement. There are at least 2 reasons to integrate a formalized quality improvement curriculum into resident education: (1) increased emphasis on the relative quality and value (cost-effectiveness) of health care provided by individual physicians, and (2) quality improvement principles empower broader lifelong learning. An integrated quality improvement curriculum should comprise specific goals and milestones at each level of residency training. This article discusses the role and possible implementation of a national program for quality improvement in neurosurgical resident education.
Key points
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Graduate medical education is now subject to the same imperatives for clinical outcomes measurement, continuous quality improvement, and value-based care as all American health care providers.
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Effective fundamental reform requires the engagement of a new generation of practitioners, through systematic training as lifelong learners.
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This article outlines one vision for a national didactic and hands-on outcomes and quality improvement curriculum for US neurological surgery training, which is explicitly coordinated with recent curricular initiatives of the Society of al Surgeons and educational outcomes assessment initiatives of the Accreditation Council for Graduate Medical Education Next Accreditation System.
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