THE PDSA CYCLE AT THE CORE OF LEARNING IN HEALTH-PROFESSIONS EDUCATION

Background: the Plan-Do-Study-Act (PDSA) cycle lies at the heart of co ntinuous improvement and is a redefinition of the scientific method fo r application to the world of work. Health care as a context for healt h professions learning: Educational institutions could create the best ''quality learning'' environments for students by relating closely to health care organizations that create improvement environments for wo rkers. When both become ''learning'' organizations and develop a relat ionship with each other, an important product will be the integration of processes for individual and organizational learning. The PDSA cycl e as learning theory: The PDSA cycle can be an integrating theory for both individual and organizational learning. It shares basic features of well-accepted theory about individual and organizational learning, including the concepts of change and action/reflection. Evaluating lea rning through PDSA cycles: An illustration is given of one set of impl ications of the PDSA cycle as learning theory. it describes an alterna tive way of thinking about the evaluation of learning, which surpasses the traditional emphasis on judgment in evaluation. Conclusions: The potential to place the PDSA cycle at the core of learning in health pr ofessions education is great. Contributing factors to this potential i nclude the historical emphasis on the scientific method in health care , the relationship between clinical education and practice, recent imp rovements in our capacity to de-fine and measure health outcomes, emer gent pressures for change in health care and education, and compatible multiple functions of the PDSA cycle.