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Bologna through Medical Student Eyes
Bologna through Medical Student Eyes
Cheryl Terés
AMSE
September 2005
Cheryl Terés
AMSE
September 2005
Bologna Discussions in EMSA & IFMSA
Bologna Discussions in EMSA & IFMSA
– February 2004: Joint WS in Ljubljana, Slovenia– July 2004: Follow-up WS in Megeve, France– August 2004: IFMSA GA in Ohrid, Macedonia– August 2004: EMS Council in London, UK– February 2005: EMS Council in Warsaw, PL
– February 2004: Joint WS in Ljubljana, Slovenia– July 2004: Follow-up WS in Megeve, France– August 2004: IFMSA GA in Ohrid, Macedonia– August 2004: EMS Council in London, UK– February 2005: EMS Council in Warsaw, PL
© 2005 Carl Savage
AMEE 2004AMEE 2004(Association for Medical Education in Europe)(Association for Medical Education in Europe)
• Katja Kovac & Hans-Jacob Westbye • Published in Medical Teacher
SummaryMost points of the Bologna process are welcomed by the medical students of Europe. Medical education is in many ways in a special position when it comes to implementing the changes, and we would like to emphasize the importance of three points:
1. A common system for quality assurance of medical education in Europe would increase mobility and improve the quality of tomorrows physicians.
2. We are concerned about the negative implications of a two-cycle structure on medical education. Harmonization of medical education in Europe is crucial whatever system exists.
3. Student involvement is essential at all levels of the process.
• Katja Kovac & Hans-Jacob Westbye • Published in Medical Teacher
SummaryMost points of the Bologna process are welcomed by the medical students of Europe. Medical education is in many ways in a special position when it comes to implementing the changes, and we would like to emphasize the importance of three points:
1. A common system for quality assurance of medical education in Europe would increase mobility and improve the quality of tomorrows physicians.
2. We are concerned about the negative implications of a two-cycle structure on medical education. Harmonization of medical education in Europe is crucial whatever system exists.
3. Student involvement is essential at all levels of the process.
Medical Students and Quality Assurance
Medical Students and Quality Assurance
Quality Assurance Workshop
Copenhagen, Denmark
6th-10th of July, 2005
Quality Assurance Workshop
Copenhagen, Denmark
6th-10th of July, 2005
Medical Students and Quality Assurance
Medical Students and Quality Assurance
• Students from 15 countries• Invited guests• Workshop format• Product: Statement on Quality Assurance
• Students from 15 countries• Invited guests• Workshop format• Product: Statement on Quality Assurance
Quality• “the characteristics of a function, process,
system or object that is fulfilled when compared to predefined goals or standards”
Quality• “the characteristics of a function, process,
system or object that is fulfilled when compared to predefined goals or standards”
QAWS definitions:QAWS definitions:
Quality Assurance• “a way to warrant that the predefined
standards are met.”
Quality Assurance• “a way to warrant that the predefined
standards are met.”
QAWS definitions:QAWS definitions:
Quality Improvement• “a continuous process to review, critique,
and implement changes.”
Quality Improvement• “a continuous process to review, critique,
and implement changes.”
QAWS definitions:QAWS definitions:
QAWS CopenhagenMain conclusions
QAWS CopenhagenMain conclusions
WFME standardsWFME standards
QAWS CopenhagenMain conclusions
QAWS CopenhagenMain conclusions
Course evaluationsCourse evaluations
QAWS CopenhagenMain conclusions
QAWS CopenhagenMain conclusions
Transparency of the evaluation process
Transparency of the evaluation process
QAWS CopenhagenMain conclusions
QAWS CopenhagenMain conclusions
Core CurriculumCore Curriculum
QAWS CopenhagenMain conclusions
QAWS CopenhagenMain conclusions
Licensing ExamLicensing Exam
QAWS CopenhagenMain conclusions
QAWS CopenhagenMain conclusions
Student InvolvementStudent Involvement
QAWS CopenhagenMain conclusions
QAWS CopenhagenMain conclusions
StakeholdersStakeholders
Quality Assessment does not automatically lead to Quality
Improvement!
Quality Assessment does not automatically lead to Quality
Improvement!
On Quality Improvement…On Quality Improvement…
There is a “lack of coherence in regular quality development processes – only a few institutions pursue a systematic institutionalised approach to quality development.”
There is a “lack of coherence in regular quality development processes – only a few institutions pursue a systematic institutionalised approach to quality development.”
QA ≠ QI QA ≠ QI
– S. Reichert & C. TauchTrends IV: Main findings and conclusions presented to the EUA, March 31, 2005.
– S. Reichert & C. TauchTrends IV: Main findings and conclusions presented to the EUA, March 31, 2005.
Quality ImprovementQuality Improvement
Quality Improvement methods need to be integrated into the system.
To be useful, feedback must lead to ideas about what to change.
The changes must then be tested to see if they enhance the education.
Quality Improvement methods need to be integrated into the system.
To be useful, feedback must lead to ideas about what to change.
The changes must then be tested to see if they enhance the education.
QualityQuality
Quality AssuranceQuality Assurance
Quality ImprovementQuality Improvement
The Journey from Q to QIThe Journey from Q to QI
Quality Assurance vs. Quality ImprovementQuality Assurance vs. Quality Improvement
Do we have good quality?
vs.
How do we improve our quality?
Do we have good quality?
vs.
How do we improve our quality?
The Scientific MethodThe Scientific Method
Medical Science• Formulate a hypothesis• Test the hypothesis• Observe the results• Draw conclusions• Publish
Medical Science• Formulate a hypothesis• Test the hypothesis• Observe the results• Draw conclusions• Publish
Improvement Science• Plan an improvement• Carry out (do) the
improvement• Study the results• Act on the results
Improvement Science• Plan an improvement• Carry out (do) the
improvement• Study the results• Act on the results
Plan – Do – Study – PublishPlan – Do – Study – Publish Plan – Do – Study – ActPlan – Do – Study – Act
© 2005 Carl Savage
Any questions…Any questions…
Improvement Model
1. What do we want to achieve?
2. How do we know that a change is an improvement?
3. What changes can we make that will result in an improvement?
4. Run a PDSA test cycle!
P - D - S - A cycle
(T Nolan et al)
Plan
Study Do
Act
Spinning
the PDSA
Wheel