Open Access Peer-reviewed Research Article

Quality culture in action for a respiratory course: A dynamic CQI process at an engineering based allopathic medical school

Main Article Content

Lidija Barbaric
Bailey MacInnis
Kashif A. Ahmad corresponding author


Carle Illinois College of Medicine (CIMED) opened its doors in 2018 as an allopathic medical school under provisional accreditation by the Liaison Committee of Medical Education (LCME) and in 2014, the LCME mandated that all U.S. medical schools implement the process of internal continuous quality improvement (CQI). Here, the authors take a retrospective look at how CIMED utilized frequent and granular student feedback to contribute to continuous quality improvement (CQI) during the school’s Respiratory course, by citing specific examples of changes and student satisfaction outcomes from the inaugural class (2018) to the second class (2019). The authors outline how this cycle of evaluation and action can effectively incorporate students into the CQI process to enhance student success via faculty-student partnership. Furthermore, the authors discuss the nuance of feedback interpretation by the involved faculty and advocate for CQI based on a deeper understanding of the student experience such that change initiated by CQI may extend beyond benchmark data collection. The authors discuss how dynamic feedback may be helpful in achieving equipoise between long-standing principles of medical pedagogy and newer trends in medical education, while still maintaining student satisfaction and continuing to develop a culture of quality improvement.

quality culture, respiratory course, CQI, CIMED, LCME, medical education

Article Details

How to Cite
Barbaric, L., MacInnis, B., & Ahmad, K. A. (2021). Quality culture in action for a respiratory course: A dynamic CQI process at an engineering based allopathic medical school. Advances in Educational Research and Evaluation, 2(2), 146-152.


  1. Anderson J, Calahan CF and Gooding H. Applying Design Thinking to Curriculum Reform. Academic Medicine, 2017, 92(4): 427.
  2. Goldfarb S and Morrison G. Continuous curricular feedback: a formative evaluation approach to curricular improvement. Academic Medicine, 2014, 89(2): 264-269.
  3. Geraghty JR, Young AN, Berkel T, et al. Empowering medical students as agents of curricular change: a value-added approach to student engagement in medical education. Perspectives on Medical Education, 2019, 9(9): 60-65.
  4. Richman PS, Olvet DM, Ahmad S, et al. Use of student feedback to drive quality improvement (QI) in a preclinical U.S. medical school course. Medical Education Online, 2019, 24(1): 1583968.
  5. Hedrick JS, Cottrell S, Stark D, et al. A Review of Continuous Quality Improvement Processes at Ten Medical Schools. Medical Science Educator, 2019, 29(1): 285-290.
  6. Barzansky B and Co-Secretary L. Planning a System to Monitor Performance in LCME Accredidation Standards.
  7. Liaison Committee of Medical Education. Functions and Stuctures of a Medical School, 2018.
  8. Scott KW, Callahan DG, Chen JJ, et al. Fostering Student-Faculty Partnerships for Continuous Curricular Improvement in Undergraduate Medical Education. Academic Medicine, 2019, 94(7): 996-1001.
  9. Scott KW, Berger AG, Stuart JC, et al. Re-engaging students in medical school accreditation: the independent student analysis action (ISA2) approach. MedEdPublish, 2020, 9(1): 15.
  10. Burk-Rafel J, Jones RL and Farlow JL. Engaging Learners to Advance Medical Education. Academic Medicine Journal of the Association of American Medical Colleges, 2017, 92(4): 437.
  11. Fleming F, Heath O, Goodridge A, et al. Curran, Making medical student course evaluations meaningful: implementation of an intensive course review protocol. BMC Medical Education, 2015, 15(1): 1-6.
  12. Bendermacher G, GraveW,Wolfhagen I, et al. Shaping a Culture for Continuous Quality Improvement in Undergraduate Medical Education. Academic Medicine, 2020, 95(12): 1913-1920.
  13. Blouin D and Tekian A. Accreditation of Medical Education Programs: Moving From Student Outcomes to Continuous Quality Improvement Measures. Academic Medicine Journal of the Association of American Medical Colleges, 2017, 93(3): 377-383.
  14. Zanten MV, Norcini JJ, Boulet JR, et al. Overview of accreditation of undergraduate medical education programmes worldwide. Medical Education, 2010, 42(9): 930-937.
  15. Cueto J, Burch VC, Adnan N, et al. Accreditation of undergraduate medical training programs: practices in nine developing countries as compared with the United States. Education for Health, 2006, 19(2): 207-222.
  16. Boulet J and Zanten MV. Ensuring high-quality patient care: the role of accreditation, licensure, specialty certification and revalidation in medicine. Medical Education, 2014, 48(1): 75-86.
  17. Davis DJ and Ringsted C. Accreditation of Undergraduate and Graduate Medical Education: How do the Standards Contribute to Quality? Advances in Health Sciences Education, 2006, 11(3): 305-313.
  18. Alwan IA. Is accreditation a true reflection of quality? Medical Education, 2012, 46(6): 542-544.
  19. Malak MA. Quality Improvement in Medical Education: Implications for Curriculum Change. Academic Medicine Journal of the Association of American Medical Colleges, 2017, 92(4): 431-432.
  20. Musick DW. A Conceptual Model for Program Evaluation in Graduate Medical Education. Academic Medicine, 2006, 81(8): 759-765.
  21. Casiro O and Regehr G. Enacting Pedagogy in Curricula: On the Vital Role of Governance in Medical Education. Academic medicine: journal of the Association of American Medical Colleges, 2018, 93(2): 179-184.
  22. Bandiera G, Frank J, Scheele F, et al. Effective accreditation in postgraduate medical education: from process to outcomes and back. BMC Medical Education, 2020, 20(1): 307.
  23. Hamnvik OPR. USMLE Scores – Unintended consequences. NEJM Knowledge, 2019.
  24. Borowitz SM, Saulsbury FT and Wilson WG. Information collected during the residency match process does not predict clinical performance. Arch Pediatr Adolesc Med, 2000, 154(3): 256-260.
  25. Coiado OC and Ahmad K. Introducing First-Year Medical Students to Product Innovation and Entrepreneurship. Medical Science Educator, 2019, 30(1): 19-20.
  26. Kinkade S. A snapshot of the status of problem-based learning in U. S. medical schools, 2003-04. Academic Medicine Journal of the Association of American Medical Colleges, 2005, 80(3): 300-301.
  27. Wood DF. Problem based learning. BMJ, 2003, 326(7384): 328-330.
  28. Sweeney G. The challenge for basic science education in problem-based medical curricula. Clinical and investigative medicine. M´edecine clinique et experimentale, 1999, 22(1): 15-22.
  29. Wong BM and Headrick LA. Application of continuous quality improvement to medical education. Medical Education, 2020, 55: 72-81.
  30. Stratton TD. Legitimizing Continuous Quality Improvement (CQI): Navigating Rationality in Undergraduate Medical Education. Journal of General Internal Medicine, 2019, 34: 758-761.