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 Doubling Curve 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

Do I educate? And if so, when and where? Quality and Education Do I educate? And if so, when and where? Time requirement In clinic? In the OR? At courses?

Do I educate? And if so, who do I educate? Quality and Education Do I educate? And if so, who do I educate? Residents Fellows Xray techs Scrub Techs Nurses

I am going to educate, now what? Types of Learners: 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

I am going to educate, how do I teach? 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?