QI Clinics in NYC Aim to Transform Residency Training

By Jennifer J. Salopek

The Committee on Interns and Residents Policy and Education Initiative (CIR PEI) and the Society of Hospital Medicine (SHM) jointly have announced an ambitious new resident training pilot initiative specifically designed to address the gaps for which graduate medical education has been recently criticized. Resident Quality Improvement Clinics at two pilot sites, Harlem Hospital Center and Bronx-Lebanon Hospital Center, will bring learners together in multidisciplinary teams for didactic and experiential learning.

Farbod Raiszadeh, MD, PhD, is founding director of CIR PEI’s Quality Improvement Innovation Institute (QII2). He notes that, despite requirements, less than 20 percent of U.S. medical schools and residency programs offer training in patient quality and safety. “There is really a need for these kinds of resources and projects,” he says.

The QI Clinics will have four main components:

  • A large-scale didactic process open to all learners in the pilot hospitals, delivered grand rounds-style once a month
  • Workshops for residents to work in small groups to design and develop QI projects
  • Virtual support via webinars and offline contact with faculty who are not in the hospital
  • Access to e-learning modules and mentors via SHM Access.

“This smart design takes the needs of all learners into consideration, particularly time-constrained residents, by delivering an intense day once a month, then spreading out the rest of the interactions,” says Raiszadeh.

The pilot hospital sites were selected based on previous quality improvement efforts by residents and their ability to conduct these collaborative, multi-stakeholder projects. QII2 will provide examples of projects via the curriculum but “we hope they will grow organically out of the relationship between faculty mentors and residents.”

The mentorship piece is the purview of SHM, which has been teaching QI through its Quality & Safety Educators Academy and award-winning mentorship programs to hundreds of hospitals and hospitalists nationwide.

“The initiative is a cross-section of many cool things, including SHM’s expertise in mentoring, quality, and safety; a multi-tiered, multidisciplinary model; national expertise; and accountability,” says Brendon Shank, director of communications for SHM. “Plus, it will do good things for hospital patients at large.”

Resident physicians at Harlem are eager to begin working with the SHM mentors.

“This is a wonderful learning opportunity to enable resident doctors to enhance not only our clinical skills but organizational and administrative skills that will overall impact health care in a more meaningful way,” said Paroma Mitra, MD. “And we’ll become better spokespersons on direct issues that impact patients.”

Jennifer-1990-webJennifer J. Salopek is founding editor of Wing of Zock. She can be reached at jsalopek@aamc.org, or follow her on Twitter @jsalopek.