Improving Performance by Improving Education

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations


Optimizing the role of learners in quality improvement (QI) and neurosurgical performance requires understanding and closing historical gaps between traditional didactic teaching methods and the needs of today's contemporary learners. The role in neurosurgical education of technological advancement, simulation, fundamentals courses, cognitive style-based curricula, and practice-based learning (PBL) are presented. In addition, outcomes measurement and continuous QI for residency training are discussed in the context of the Accreditation Council for Graduate Medical Education (ACGME), Next Accreditation System (NAS), which also incorporates explicit educational goals for both PBL and QI. The Institute for Healthcare Improvement “triple aim”: (1) improved population health, (2) enhanced patient experience (including quality and satisfaction), and (3) reduced per capita cost for American health care now includes a 4th aim, (4) provider wellness and satisfaction. Iterative improvement of both the graduate medical education (GME) and medical practice environments is critical to the overall health care improvement enterprise.

Original languageEnglish (US)
Title of host publicationQuality and Safety in Neurosurgery
Number of pages12
ISBN (Electronic)9780128128985
ISBN (Print)9780128128992
StatePublished - Jan 1 2018


  • Neurosurgery training
  • Residency education
  • Simulation

ASJC Scopus subject areas

  • General Neuroscience


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