Unleashing Excellence: Using a Project Management Approach to Effectively Implement a Simulation Curriculum to Improve Resident’s Preparedness

Abstract

Abstract Background:The implementation of innovative, simulation-based training programs in medical education is confronted with well-known challenges such as skepticism, limited faculty time, and financial constraints. The Harvard Project Management (PM) Theory, famous for its effectiveness in business projects, holds potential for optimizing success equally in medical education. This study aims to evaluate the effectiveness of utilizing the Harvard project approach in enhancing curriculum design success, and to further assess the impact of the improved simulation-based training curriculum on the clinical preparedness of novice residents. Methods:Twelve residency schools from Humanitas University in Milan, Italy were asked to participate in a monthly, high-fidelity simulation curriculum. Over a 12-month period, a total of twenty-two clinical high-fidelity cases were performed, focusing on patient safety and relevant topics for first-year residents across all specialties. The study employed a four-phase implementation approach: Ideation, Scale, Execution, and Closing, using project management tools like project charters, risk management, and monitoring mechanisms to standardize processes and enhance clinical deliverables. Key elements of this new management approach included defining milestones, engaging stakeholders, enhancing accountability, aligning to institutional policies and processes, and adhering to preset timelines and budgets. Results: A total of 395 residents participated in the monthly simulation-based events, with an average participation rate of 39 +/- 19 residents per lecture. The average rating for expected skills learned significantly improved from 5.9/10 to 8.8/10 (p=0.0001). Participants found the impact on future clinical practice (4,7/5) and teamwork (4.8/5) most useful. Faculty members positively appreciated the new organizational structure, allowing them more visibility and time saving (4,8/5). The qualitative evaluation of the implementation process emphasized the importance of structured communication, specific incentive schemes, and illustrative data analysis and presentation. Conclusion: This project highlights the positive impact of project management in simulation-based curriculum design, emphasizing the involvement of stakeholders, faculty motivation, and effective communication. The utilization of the Harvard Project Management Approach enhances curriculum design success and improves emergency preparedness for novice residents. Future implementations can build upon these findings to further optimize medical education programs.