A Systems-Based Practice Curriculum in Orthopaedics

Successes and Challenges Moving Forward

Brittney Hacken, Sandra S. Jarvis-Selinger, April Armstrong, Sarah Black, Daniel Pratt, Kevin Black

Research output: Contribution to journalArticle

Abstract

Background:Teaching and assessment of the systems-based practice competency have been a challenge for many educators in graduate medical education. Previous research done at our institution demonstrated a marked inconsistency across institutions in educational content, methods of delivery, and performance assessment. As a result, we developed a 2-week health systems curriculum for orthopaedic surgery residents.Methods:A 2-week health systems rotation was developed during which postgraduate year (PGY)-1 residents were excused from their normal clinical duties. Residents followed patients as observers of the health-care system, challenged to view health care through the eyes of the patient and to identify what could be done individually and collectively to provide a better and safer experience. Additional learning experiences were designed on the basis of our literature review. At the end of the rotation, residents discussed and provided a written summary of their experiences and completed an anonymous evaluation. Using a Likert scale (1 to 10), residents were asked if the experience was educational and whether it was it additive to their undergraduate medical education for each of the 9 educational areas.Results:The mean responses for all 9 educational areas were 8.2 for whether the experience was educational and 8.3 for whether it was it additive to participants' undergraduate medical education. Feedback from residents indicated that they found the course very helpful and that it inspired them to consider how they could "create overdue and necessary changes in our health-care system."Conclusions:Our health systems rotation in PGY-1 has been a valuable learning experience for the residents and has created a foundation on which to build in subsequent years of residency.

Original languageEnglish (US)
Pages (from-to)E2
JournalJournal of Bone and Joint Surgery - American Volume
Volume101
Issue number1
DOIs
StatePublished - Jan 2 2019

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Undergraduate Medical Education
Curriculum
Orthopedics
Delivery of Health Care
Health
Learning
Graduate Medical Education
Internship and Residency
varespladib methyl
Teaching
Research

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Hacken, Brittney ; Jarvis-Selinger, Sandra S. ; Armstrong, April ; Black, Sarah ; Pratt, Daniel ; Black, Kevin. / A Systems-Based Practice Curriculum in Orthopaedics : Successes and Challenges Moving Forward. In: Journal of Bone and Joint Surgery - American Volume. 2019 ; Vol. 101, No. 1. pp. E2.
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A Systems-Based Practice Curriculum in Orthopaedics : Successes and Challenges Moving Forward. / Hacken, Brittney; Jarvis-Selinger, Sandra S.; Armstrong, April; Black, Sarah; Pratt, Daniel; Black, Kevin.

In: Journal of Bone and Joint Surgery - American Volume, Vol. 101, No. 1, 02.01.2019, p. E2.

Research output: Contribution to journalArticle

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