Thursday, February 05, 2015

Good progress in NYC

Jennifer J. Salopek at Wing of Zock reports on some excellent goings-on in New York City.  Bravo to CIR and SHM for stepping in.  Without taking anything away from this initiative and the pedagogical creativity displayed here, wouldn't it be nice if residency programs more broadly were actually complying with the ACGME's CLER program so this kind of third-party investment would not be necessary. Unfortunately, as I have noted, those "requirements" have been vacuous and enforcement of them has been toothless.

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.

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