Continuous quality improvement (CQI) has become an increasingly important part of the health care industry, both in patient care and in education. A recent national policy statement from the Institute of Medicine urges physicians to take the lead in improving the quality of the U.S. health care system. Resident participation in CQI is required by the ACGME under the competency of “practice-based learning and improvement”. In addition, the American Board of Pediatrics requires a Quality Improvement project for recertification. Given this new emphasis, we have developed a robust QI program that spans all three years of residency.
By the completion of residency, our residents should be able to demonstrate the knowledge and skills necessary to effectively participate in a CQI effort and demonstrate an appreciation for the need to improve quality in health care. This program utilizes the following components:
Online Training Modules
Several on-line training modules, ranging from the basics of CQI to a more “graduate” level, are available by iPad or other internet-connected devices.
Interactive Discussion Session
This workshop occurs at the end of intern year, and includes a review of the residency CQI program. It allows for an interactive discussion of QI concepts and brainstorming to generate ideas for potential QI projects.
Residents are required to participate in a CQI project. These projects are collaborative and interdisciplinary in nature. They build teamwork skills and foster a sense of inquiry and personal responsibility for overall healthcare for our patient population. Residents can do short (a few months) or long-term projects in groups with other residents, faculty, hospitals, etc. All residents must complete a project by the end of their third year. Graduating seniors must present their projects in poster or oral format during an annual scholarly projects forum their senior year. Projects may also be presented at a regional pediatrics conference in the spring of each year and at Grand Rounds. Many may rise to the level of publication in peer-reviewed journals.
2017-18 Resident QI Projects
- Improving Asthma Education with Asthma Action Plan Wallet Cards, Cristoforo, T
- Batter Up! Using Baseball Cards to Improve Patient- Doctor Relationships, Dressing, M, Ketchum A
- Influenza Improvement Study, Greenup, E
- TIPS to Improve Inpatient General Surgery Admission Medication Reconciliations, Hagerman, J, Martin, H, Simone, C
- Development of a NICU Pocket Guide for Residents to Increase Preparedness in the NICU, Swanson, L
- Fire Drill-Putting out Fires on the Pediatric Wards, Introduction to an Innovative Morning Report Curriculum, Engel E.
- Increasing the Use of Clinical Photos and HER to Improve Patient Care and Follow-up, Millette, K, Alberdi, T, McCray, Pagan, C
2016-17 Resident QI Projects
- Improving Better Practice Guidelines for Late Onset Sepsis Evaluation, T Penton
- Quality Improvement in Med-Peds Clinic, A Mahmud
- Healthy Nuggets Happy Meal Week: Educational Initiative to Improve Pediatric Cardiovascular Risk Assessment, J Hagerman, C Nereim, E Peterson, K Schuette
- Resident Board Review, Butler, Plant, Armstrong
- Improving the Quality of a QI and Patient Safety Curriculum in a Pediatric Residency Program, H Cobb, D Abrahan
- Improving Resident Driven Feedback for Medical Students, C Root, P Sosa
- Influenza Improvement Study, S Scionti, E Greenup, S Farooqi
- Se Habla Espanol, Improving Care for Patients with Limited English Proficiency by Implementing Resident Education on the Use of Medical Interpreters, J Robles, A Pargas,
2015 Resident QI Projects
- “Handbook on How to Make the ER Rotation Better”, by Dennrik Abraham, Lauren Friedman, Jordan Larsen
- "Improving Resident Participation and Perception of Board Review”, by Kathleen Altemose, Kelly Driver, Isabel Gross, Katherine Guthrie, Erin Wright
- “Improving the Heme/Onc Educational Experience for Residents at TGH”, by Kristi George, Yolanda Suarez, Erin Wright
- “Medication Adherence in Rheumatology Clinic”, by Miriah Gillispie and Sara Sabbagh
- “Increasing Continuity in Continuity Clinic”, Kelly Driver and Katherine Guthrie
- “Formative Work towards Developing an Innovative STI and Unintended Pregnancy Risk Reduction Intervention Among Young, High-Risk Women”, by Cameron Nereim
- “Participation in National NPAI HPV study, part of CORNET research group”, by Drs. Gao, Baldwin, Kickish and Rietsma
- “Asthma Study”, by Drs. Dalsania and Lastra
- “Implementation of a Spanish Training Curriculum in a Pediatric Residency Program”, by Drs., Nguyen, Perez and Luna
- “Social Determinants of Health”, by Drs. Rietsma and Robles