Table 2.

Results organized by Kirkpatrick’s model of evaluation [9]

Data source	Level 1: Reaction (e.g., learner satisfaction or dissatisfaction)	Level 2: Learning (e.g., learner knowledge, skills, attitude, confidence)
Focus group	(+) Sense of accomplishment in completing the QI curriculum (+) QI Curriculum structure (direction, organization) (−) Impact of inconsistent attendance by residents (−) Completing priorities (−) Time between sessions too long to sustain momentum (−) Technology barriers (−) Physical work environment (−) Insufficient mentoring early in the curriculum	(−) Lack of skills (−) Lack of long-term understanding of QI
Pre-post survey	(N) QI is useful	(+) Confidence with individual QI skills (N) Using QI after completing residency training
QI projects		(+) Posters completed and presented locally
Curriculum Materials		(+) Ability to complete specific QI tasks

There were no results supporting level 3 or level 4 evaluation

+ positive aspect of the curriculum, −negative aspect of the curriculum, N neutral aspect of the curriculum