Integration of Improvement in Pre-service Health Worker Training Curriculum: Lessons Learned
ASSIST has been participating in the ongoing Kenya Ministry of Health’s pre-service curriculum development committee, under the Quality Management Technical Working Group (QM-TWG), providing technical assistance to develop a quality improvement module for pre-service health care training at four institutions: Kenya Medical Training College (KMTC), Moi University, Kenya Methodist University (KeMU), and University of Nairobi.
The goal of this activity was to prepare students from different health fields to be able to continually review and improve the quality of the services they provide once they are deployed to improve health outcomes, with a focus on HIV services.
The objectives of this activity were:
- To assess the inclusion of elements of improvement in existing curricula.
- To develop medical training institution faculty improvement competencies for teaching improvement to support student preparedness for better performance and health outcomes, especially those related to HIV services.
- To develop an improvement module outline that could be integrated into curricula during institutions’ regular curricula review process.
This short report discusses these efforts and the challenges faced, and provides lessons learned and recommendations for others wishing to integrate quality improvement training into pre-service curricula.
In addition to this short report, ASSIST prepared several additional products as a result of this activity:
- Staff and Student Survey on Perceptions of the Integration of Quality Improvement into Pre-service Training at Three Medical Training Institutions in Kenya: This report provides an analysis of surveys given to faculty and student about their institution’s readiness for integrating improvement into existing curricula and whether QI concepts are already incorporated. This report includes tools that can be adapted by other institutions.
- Quality Improvement Self-Study Guide for Faculty at Health Worker Training Institutions: This self-study guide provides an introduction to quality improvement methods, on both an academic and practical level, for faculty involved in integrating improvement into medical training curriculums.
- Pre-service Quality Improvement Module Outline: Based on the work of the three Kenyan institutions, ASSIST prepared a generic improvement module outline that can be used as a model for adaptation by other medical training institutions. The module includes recommendations on time, structure, teaching methods, and content.