We implemented a practical strategies bundle to overcome common challenges to successfully engaging residents in clinical quality improvement. Resident assessment of QI priority in clinical work did not change. Items related to self-assessment of QI in clinical work all changed in the desired direction: likelihood of participation (3.7 to 4.1, p = 0.03), frequency of QI use (3.3 to 3.9, p = 0.001), and opinion about using QI in clinical work (3.9 to 4.0, p = 0.21). 40/62 residents completed both pre- and post-surveys. ResultsĪll 62 residents participated in the program as members of ten QI teams. A pre-post survey asked residents to self-assess their level of interest and engagement in QI on a 5-point Likert scale, with 1 = least desired and 5 = most desired result. Residents had access to data related to their own practice. Project criteria included importance to patients, residents, and the institution. The experience included clear expectations and tools for accountability. Residents completed at least two PDSA (Plan-Do-Study-Act) cycles for their projects. MethodsĦ2 categorical residents in the University of Missouri Internal Medicine residency participated in a longitudinal QI curriculum integrated into residency clinic assignments with dedicated QI work sessions and brief just-in-time didactics with mentorship from faculty coaches. This paper describes a bundle of practical strategies to address common challenges to resident engagement in QI, illustrated through the experience of one residency education program. Various strategies to address these challenges for engagement have been described, but not as a unified approach. Challenges include competing demands, didactics which lack connection to meaningful work, suboptimal experiential learning, unclear accountability, absence of timely and relevant data, and lack of faculty coaches and role models. More muscle means a higher BMR.Engaging residents in meaningful quality improvement (QI) is difficult. Muscle (in the LBM) consumes more energy (calories) than fat. BMR: Basal Metabolic Rate - Calories required to maintain basic function.WHR: Waist Hip Ratio (distribution of fat stores in abdomen and hips).BMI: Body Mass Index (based on height and weight).ICW: Intracellular Water (inside of cells).ECW: Extracellular Water (outside of cells).LBM Segmental Assessment: LBM of each extremity and trunk.Below is an outline of the information that you will receive. In my office, we will obtain your body composition analysis regularly and you receive a printed copy at each visit. Another important factor to help with weight loss is having an accurate BMR (basal metabolic rate). Rapid weight loss over a few days is usually water weight and not fat and rapid weight gain over a few days is water and not muscle. The goal over time is to lose fat mass and maintain lean body mass.
This information is useful as a baseline before starting a weight loss program and at regular intervals to monitor weight loss. This body composition analysis gives you important information and is essential in following your weight loss journey. The correlation coefficient compared to isotope dilution is R=0.97.
Faqt abbreviation medicine full#
Also, an individual can have a BMI in the “normal range” and not be metabolically healthy.Īdvanced full body multi-frequency analysis is the most accurate bio-electrical impedance analysis technology available. Remember, BMI (body mass index) is only one measure of your overall health status and other health and medical information should be taken into consideration. high blood pressure, metabolic syndrome, high cholesterol, pre-diabetes, or diabetes) you may qualify for prescription anti-obesity medications. If your BMI is 27 -29 and you have a weight related medical condition (e.g. If your BMI is 30 or over, you may qualify for prescription anti-obesity medications.
Generally, lifestyle modifications (exercise and healthy eating) are recommended to lose excess weight or maintain a healthy weight. Body Composition Analysis - BMI (Body Mass Index)
0 kommentar(er)
