Expanding Training in Quality Improvement and Patient Safety Through a Multispecialty Graduate Medical Education Curriculum Designed for Fellows

Neumeier, A.; Levy, Andrew; Gottenborg, Emily; Anstett, Tyler; Pierce, Read; Tad‐y, Darlene

doi:10.15766/mep_2374-8265.11064

Cited by 13 publications

(6 citation statements)

References 22 publications

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“…One of the strengths of our program is the interprofessional group of faculty and PS experts involved in the development and delivery of the curriculum. Although other curricula have been primarily delivered by using online modules ( 14 , 20 ), by chief residents ( 13 , 18 , 20 , 26 ), by resident QI–PS councils ( 15 , 27 ), by faculty with QI–PS interests ( 13 , 18 , 22 , 28 ), or by including residents in institutional QI–PS frameworks ( 23 , 29 ), a novel feature of our curriculum is the direct integration of a local PS expert from our institution’s office of PS into the classroom. The PS analyst was intimately involved with the design of the curriculum and served as the moderator for the active-learning sessions.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies demonstrated improvement in resident engagement in PS by addressing barriers, using formal didactic sessions, and even offering incentive programs ( 13 – 17 ). Others described root cause analysis (RCA) workshops or curricula ( 17 – 22 , 23 ), although system changes resulting from these educational initiatives are rarely reported ( 15 , 16 , 22 , 23 ).…”

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confidence: 99%

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Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System

et al. 2022

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Background Healthcare organizations seeking to promote a safety culture depend on engaged clinicians. Academic medical centers include a community of physicians-in-training; however, medical residents and fellows are historically less engaged in patient safety (PS) than are other clinicians. Increased attention has been focused on integrating PS into graduate medical education. Nonetheless, developing curricula that result in real-world system changes is difficult. Objective To develop an interactive PS curriculum for internal medicine (IM) residents that analyzes real-word PS problems. Methods A multidisciplinary group developed a five-session, case-based PS curriculum for IM residents in the context of a 3-year, longitudinal quality-improvement, PS, and high-value-care curriculum. The curriculum was facilitated by a PS analyst and incorporated mock root cause analysis (RCA) based on actual resident-reported PS events. Each mock RCA developed an action plan, and outcomes were tracked. Pre- and postcurriculum assessments with participating residents were conducted to evaluate the curriculum. Results Twenty-eight IM residents completed the curriculum during four iterations from 2017 to 2020. The curriculum identified multiple potential PS risks, led to tangible changes in clinical processes, and enhanced resident confidence in improving systems of care. Conclusions We describe an active-learning PS curriculum for IM residents that addressed actual resident-reported PS problems. Through RCA, action items were identified and meaningful system changes were made. Leveraging the expertise of local PS experts in the design and delivery of PS curricula may improve the translation of learner recommendations into real system changes and cultivate a positive PS culture.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System

et al. 2022

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“…Models of multidisciplinary delivery across specialty training using shared resources have been described for patient safety and physician leadership. [11][12] Such multidisciplinary models take advantage of local expertise and scale delivery using workshops, seminars or online platforms that are readily accessible to large groups of learners.…”

Section: Introductionmentioning

confidence: 99%

A Shared Point of Care Ultrasound Curriculum for Graduate Medical Education

Ferre,

Kaine,

Lobo

et al. 2024

Preprint

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Background Point of care ultrasound (POCUS) education has grown significantly over the past two decades. Like most curricular items, POCUS education is siloed within individual graduate medical education (GME) programs. The purpose of this study was to evaluate the effectiveness of a shared GME POCUS curriculum between five GME programs at a single institution. Methods Post-graduate-year-1 (PGY-1) residents from emergency medicine (EM), family medicine (FM), internal medicine (IM), combined internal medicine-pediatrics (IM-Peds) and combined emergency medicine-pediatrics (EM-Peds) residency programs were enrolled in a core POCUS curriculum. The curriculum included eleven asynchronous online learning modules and ten hands-on training sessions proctored by sonographers and faculty physicians with POCUS expertise. Data was gathered about the curriculum’s effectiveness including participation, pre- and post-curricular surveys, pre- and post-knowledge assessments, and an objective skills assessment. Results Of the 85 residents enrolled, 61 (72%) participated in the curriculum. Engagement varied between programs, with attendance at hands-on sessions varying the most (EM 100%, EM-Peds 100%, FM 40%, IM 22%, Med-Peds 11%). Pre- and post-knowledge assessment scores improved for all components of the curriculum. Participants felt significantly more confident with image acquisition, anatomy recognition, interpreting images and incorporating POCUS findings into clinical practice (p < 0.001) after completing the curriculum. Conclusion In this shared GME POCUS curriculum, we found significant improvement in POCUS knowledge, attitudes, and psychomotor skills. This shared approach may be a viable way for other institutions to provide POCUS education broadly to their GME programs.

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“…QIPS's role in equipping healthcare professionals with the knowledge, skills, and foundations to improve healthcare systems is well understood in the health sector. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

Quality Improvement and Patient Safety Education in Postgraduate Training Program—A Survey of Residents in Saudi Arabia

Al-Najmi,

Assiri,

Aynusah

et al. 2024

Journal of Medical Education and Curricular Development

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OBJECTIVE To review the senior resident health trainee's perceived status and need for quality improvement and patient safety (QIPS) education in the residency training program of Saudi Arabia. METHODS Residents of medical, dentistry, and pharmacy education were surveyed in 2023 by using pretested 10 QIPS questions. The median and interquartile range (IQR) of the score was correlated to gender, branch, and level of residency training. RESULTS We surveyed 202 senior residents. Males were 131 (64.9%). Residents of medical (126, 62.4%), dentistry (39, 19.3%), and pharmacy (37, 18.3%). The median score of responses to the QIPS survey was 7.0 (IQR 4.0, 11.6). The median score of residents of dentistry, medicine, and pharmacy were 10 (IQR 7.0, 12.5), 6.75 (IQR 4.0, 12.0), and 5.0 (IQR 2.5, 8.0) respectively, and was significantly different (Kruskal Wallis (KW) chi-square = 19.8, P = .001). The exposure to the QIPS project was significantly and positively associated with a high QIPS score (MW U P = .02). The variations in the score by gender (Mann Whitney P = .148) and the level of residency (KW P = .86) were not statistically significant. Three-fourths of participants feel the need for formal training about QIPS. Nearly half of the participants were not happy with the current method of QIPS training methodology. More than 40% of participants were not sure about questions about opportunities and mentorship of QIPS projects. One-third were involved in QIPS projects. CONCLUSIONS Although senior residents were interested in QIPS, they were dissatisfied with current methods and opportunities to execute supervised QIPS projects. Residents of dentistry and those having performed QIPS projects had higher QPIS knowledge and satisfaction with training.

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Expanding Training in Quality Improvement and Patient Safety Through a Multispecialty Graduate Medical Education Curriculum Designed for Fellows

Cited by 13 publications

References 22 publications

Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System

Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System

A Shared Point of Care Ultrasound Curriculum for Graduate Medical Education

Quality Improvement and Patient Safety Education in Postgraduate Training Program—A Survey of Residents in Saudi Arabia

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