Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program

Watts, Bradley V.; Paull, Douglas E.; Williams, Linda; Neily, Julia; Hemphill, Robin R.; Brannen, Judy L.

doi:10.1177/1062860616643403

Cited by 12 publications

(13 citation statements)

References 10 publications

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“…The role of facilitator was filled by the local Veterans Affairs chief resident in quality and patient safety or a faculty member trained in QI. 5 The role of the focus group was filled by rotating internal medicine residents, rotating medical students from Boston University School of Medicine and Harvard Medical School, and other attendees with interdisciplinary representation, often including nursing and pharmacy. The total size of the focus group ranged between 20–40 clinicians.…”

Section: Methodsmentioning

confidence: 99%

“…2 The organization developed the Clinical Learning Environment Review (CLER) focusing on six aspects of resident education, including patient safety and quality improvement (QI), to address the noted deficiencies. In particular, a major finding from CLER was that “across [clinical learning environments], a limited number of residents, fellows, and faculty members participated in inter-professional, interdisciplinary, systems-based improvement efforts such as patient safety event reviews and analyses.” 3–5…”

Section: Introductionmentioning

confidence: 99%

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The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement

Swamy¹,

Worsham²,

Bialas

et al. 2018

MedEdPORTAL

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Introduction: We created a standardized workshop to engage residents in quality improvement (QI) using the root cause analysis model. The workshop allows for a robust learning experience while providing solutions derived from clinicians to address important local problems. No prerequisite knowledge or experience is required. Methods: The workshop is facilitated by one or more moderators, ideally with experience in QI. An interdisciplinary group of residents, medical students, nurses, and other attendees comprise an audience which actively engages in workshop activities. Facilitators follow a scripted model to teach important patient safety concepts with frequent break-outs for hands-on application of QI tools. During the workshop, participants create a process map and fishbone diagram, as well as develop and critically evaluate novel interventions. Results: Over the course of one academic year, the workshop has been implemented 17 times with roughly 25 internal medicine residents in attendance at each workshop. In addition, the workshop was run online for 126 participants with varied exposure to QI techniques. Forty percent of these participants completed a survey indicating that over 89% learned something new, 87% felt they could apply the material to their work, and 95% would recommend the workshop to a colleague. Discussion: This 60-minute workshop can provide hands-on QI experience in a standardized format to achieve the dual objectives of teaching QI to clinicians and allowing them to generate innovations. The module can be used for internal case development and trainee participation, but prepared cases are provided for facilitators without the resources for local case development.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement

Swamy¹,

Worsham²,

Bialas

et al. 2018

MedEdPORTAL

View full text Add to dashboard Cite

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“…1,4,5 One such program is the Department of Veterans Affairs (VA) Chief Resident in Quality and Safety (CRQS) program, a 1-year experience to develop leadership and teaching skills in QI and PS that is based at more than 60 VA hospitals and led by faculty at the VA National Center for Patient Safety (NCPS). 6,7 In the CRQS program, chief residents participate in a structured national curriculum while contributing to site-level QI/PS committees, medical education, root cause analyses, and 1 or more improvement projects. 6,7 The CRQS curriculum builds on the 6 core competencies of the ACGME requirements and the PS and Health Quality pathways of the Clinical Learning Environment Review program.…”

mentioning

confidence: 99%

“…6,7 In the CRQS program, chief residents participate in a structured national curriculum while contributing to site-level QI/PS committees, medical education, root cause analyses, and 1 or more improvement projects. 6,7 The CRQS curriculum builds on the 6 core competencies of the ACGME requirements and the PS and Health Quality pathways of the Clinical Learning Environment Review program. 6,7 Trainees receive structured didactic and assignment-based activities that cover topics such as the Model for Improvement, root cause analysis, human factors engineering, statistical process control, simulation, and Lean.…”

mentioning

confidence: 99%

“…6,7 The CRQS curriculum builds on the 6 core competencies of the ACGME requirements and the PS and Health Quality pathways of the Clinical Learning Environment Review program. 6,7 Trainees receive structured didactic and assignment-based activities that cover topics such as the Model for Improvement, root cause analysis, human factors engineering, statistical process control, simulation, and Lean.…”

mentioning

confidence: 99%

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Development of a Tool to Assess Trainees’ Ability to Design and Conduct Quality Improvement Projects

et al. 2019

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An important competency for residents developing skills in quality improvement (QI) and patient safety (PS) is to independently carry out an improvement project. The authors describe the development and reliability testing of the Quality Improvement Project Evaluation Rubric (QIPER) for use in rating project presentations in the Department of Veterans Affairs Chief Resident in Quality and Safety Program. QIPER contains 19 items across 6 domains to assess competence in designing, implementing, analyzing results of, and reporting on a QI/PS project. Interrater reliability of the instrument was calculated using the intraclass correlation coefficient (ICC). QIPER scores ranged from 28 to 72 out of a possible 76. QIPER demonstrated good reliability overall (ICC = 0.63). Although further testing is warranted, QIPER shows promise as a tool to assess a comprehensive set of skills involved in conducting QI/PS projects and has the sensitivity to detect varied competence and utility for providing learner feedback.

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Supporting Care Transformation Through a Comprehensive Graduate Medical Education Curricular Program in a Department of Internal Medicine

Moriates,

Wallingford,

Vinas

et al. 2024

J GEN INTERN MED

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Background The imperative to train physicians in skills required to lead care transformation is increasingly recognized, yet few Graduate Medical Education (GME) programs exist to meet this need. Aim Describe the development, outcomes, and lessons learned from a novel GME care transformation curricular program. Setting Department of Internal Medicine (IM) at Dell Medical School at The University of Texas, Austin. Participants Between 2020 and 2023, 33 IM residents and fellows completed training with participation in the Care Transformation program. Program Description Department leadership developed a comprehensive educational and experiential program that included (1) Dell Medical School-wide Distinction in Care Transformation curriculum; (2) Primary Care Residency track with care transformation projects; (3) participation in the national Veterans Affairs Chief Resident in Quality and Safety program; and (4) Hospital Medicine Fellowship in Quality and Safety. Program Evaluation Each trainee led a care transformation project spanning a variety of topics and settings. Graduates who responded to a follow-up survey (22 of 33 graduates) reported they used skills learned through the program in their current roles and these experiences better prepared them for fellowship and/or faculty positions. Discussion The Care Transformation program provides real-world experiences and skillsets that are increasingly valuable in modern healthcare delivery.

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Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program

Cited by 12 publications

References 10 publications

The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement

The 60-Minute Root Cause Analysis: A Workshop to Engage Interdisciplinary Clinicians in Quality Improvement

Development of a Tool to Assess Trainees’ Ability to Design and Conduct Quality Improvement Projects

Supporting Care Transformation Through a Comprehensive Graduate Medical Education Curricular Program in a Department of Internal Medicine

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