Teaching Hospital–Based Medical Education Quality Framework

Why this framework exists

Common problems this addresses:

• “We teach well” but outcomes and progression are unclear

• Assessment varies by assessor and department

• Feedback exists but does not drive improvement actions

• Governance is ad-hoc; decisions are not data-driven

The four pillars

These four pillars connect learning to reliable assessment, continuous improvement, and leadership governance.

LEARN

• Curriculum & rotation design (outcomes, competencies, logbook)

• Clinical supervision & teaching (bedside teaching, feedback moments)

• Learning resources (cases, simulation, guidelines, e-learning)

ASSESS

• Competency assessment system (WBAs and OSCE as applicable)

• Assessment quality (blueprinting, standard setting, inter-rater reliability)

• Learner progression (entrustment decisions, remediation triggers)

IMPROVE

• CQI cycle (audit → CAPA → re-audit)

• Faculty development (train-the-trainer, assessor calibration)

• Learning environment & safety (patient safety + learner safety)

GOVERN

• Medical Education Governance (committee, roles, decision rights)

• Quality & risk management (risk register, incident learning, escalation)

• Transparency & reporting (dashboard, quarterly review, annual plan)

KPI starter set (example list)

Starter KPIs (customizable)

• % rotations with defined outcomes + logbook requirements (target ≥ 90%)

• Supervision ratio compliance (e.g., % shifts meeting supervision standard)

• Faculty teaching engagement (% faculty meeting minimum sessions)

• WBA completion rate per trainee per month (minimum threshold defined locally)

• Assessor calibration coverage (% assessors calibrated/6 months)

• Assessment reliability signal (e.g., moderation concordance %)

• CAPA closure on time (% actions closed by due date)

• Re-audit pass rate (% issues improved after 60–90 days)

• Remediation success rate (% learners improved after support plan)

• Quarterly Medical Education Quality Review held (Y/N + attendance rate)

• Learner experience score (pulse survey, response rate + score)

• Patient safety learning integration (# cases/M&M linked to learning objectives)

Optional Extension KPIs: Community / Dental Public Health (add-on)

• % community/outreach sites meeting minimum training criteria (target ≥ 90%)

• Prevention pathway adherence rate (target defined locally)

• Follow-up/referral completion rate after screening (target defined locally)

• Education delivery rate (% eligible encounters documented) (target ≥ 85% or local)

• Underserved reach indicator (target defined locally)

• Outreach IPC & safety compliance (target ≥ 95% or local)

Adoption pathway (90 days)

90-day adoption (high-level)

• Weeks 1–2: baseline scan + gap map

• Weeks 3–4: KPI definitions + dashboard skeleton

• Weeks 5–8: pilot in 1–2 departments

• Weeks 9–12: governance cadence + scale plan