Curriculum Overview

Background:

  • Over the past two decades, there has been an increasing awareness of the importance of Quality Improvement measures and an emphasis on patient safety. Beyond residency, Quality Improvement and Patient Safety is an increasingly important part of practice management and practicing clinicians require facility in QI/PS issues.
  • As such, the Accreditation Council for Graduate Medical Education (ACGME) has recognized this. In fact, two of the six major recognized competencies that residents are required to master are directly related to QI/PS: Practice-Based Learning and Improvement, and Systems-Based Practice.
  • The ACGME specifically states that residents must be, “integrated and actively practice in interdisciplinary clinical quality improvement and patient safety programs.”
  • Our Quality Improvement and Patient Safety Program engages the shared interests across various groups within Temple University Hospital System: Graduate Medical Education-based goals around learning QI/PS, hospital administration-based goals around cost-effectiveness, patient-based goals around safety, and faculty-based goals around career development and promotion.

Goals and Objectives:

  • Foster culture change at Temple University Hospital to make Quality Improvement and Patient Safety an integral part of everyday patient care with topics completely integrated into the Graduate Medical Education curriculum.
  • Improve faculty engagement, education, and career development for promotion around Quality Improvement and Patient Safety.
  • Increase scholarly productivity on Quality Improvement and Patient Safety topics, with projects presented at local, regional, or national meetings, and/or submitted for publication.

Curriculum Details:

  • Three-year step-wise curriculum stratified by resident level:
    • Year 1 / R1: Online modules from the Institute for Healthcare Improvement (IHI Open School)
      • Supplemental reading and online resources (including IHI Educator’s Toolkit)
      • Faculty and peer-led didactic sessions and interactive group discussions
    • Year 2 / R2: Group Projects: Pain-a-thon, Hackathon, and Shark Tank.
      • Pain points collected in a group session (May of R1 year)
      • Hackathon: Dedicated time with faculty hospitalist mentors and hospital administration consultants to review pain points and come up with project which aligns with TUH institution quality goals (June of R1 year)
      • Projects formed among ambulatory pods, hospitalist mentored, faculty and administration sponsored
      • Refined and presented at Shark Tank (July of R2 year).
      • IRB must be prepared and submitted (August of R2 year)
    • Year 3 / R3: Facilitating IHI curriculum, Individual Projects, and Elective Experience
      • Facilitate IHI curriculum for PGY-1
      • Mandatory M&M/RCA beginning in July 2019
      • Administration Level Shadowing Elective Experience beginning in July 2019
      • Panel Management (Ambulatory Setting) and Adverse Event Reporting

QI/PS Curriculum Leadership:

  • Jamie L. Garfield, MD (Director), and Elizabeth Leilani Lee, MD (Assistant Director)
  • Kelly Rowe, MD (Quality Improvement Chief Resident)
  • Andrew Lawrence Wickerham, MD, MPH, MBA and Zach Daitch, MD (Resident Co-Chairs)
  • Keith McNellis, MD and Bizath Taqui, MD (In-patient Education, M&M, RCA)
  • Rachel Rubin, MD and Dharmini Pandya, MD (Section of Hospitalist Medicine Liaisons)