Assessing Continuous Quality Improvement in a Pediatric Dentistry Residency Program

Abstract

Purpose: The purpose of this study was to assess the quality improvement process in a pediatric dentistry residency program. Methods: A qualitative research design was chosen to elicit information from stakeholders about the current program’s continuous quality improvement (CQI) process. A semi-structured interview script was developed, and interviews were conducted with 4 current residents, 5 recent graduates, 4 faculty members, and 2 administrators of the University of Washington (UW) Advanced Education in Pediatric Dentistry Residency program (UWSOD-PD). Participants were asked about elements of quality in the program, knowledge about the current CQI process, and perspectives on current feedback processes. Transcribed data were thematically analyzed. Results: Three over-arching themes arose from the data analysis: Delineation of knowledge about the current CQI feedback process, identification of stakeholder’s perspectives on elements of quality in a residency program, and opportunities for CQI. Opportunities for CQI included increased frequency of feedback, improved formative feedback, recognition of accomplishments, and faculty training on providing feedback. Specific solutions to areas needing improvement included implementing quarterly formal feedback, resident documentation of informal feedback-including daily accomplishments, incorporating required faculty training courses, and allocated time in the curriculum for the formal feedback process. Conclusion: This study distinguished the current CQI process, identified elements of quality in a pediatric dentistry residency program, and identified opportunities for CQI. Recommendations were proposed in this study to improve the program CQI process. The methods used in this CQI review may be useful to other dental residency programs interested in implementing a similar assessment of their CQI program.