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Wiley InterScience | ||
  Journal of General Internal MedicineVolume 19 Issue 8, Pages 861 - 867 Published Online: 8 Jul 2004 © 2006 by the Society of General Internal Medicine. All rights reserved
Abstract | References | Full Text: HTML, PDF (Size: 124K) | Related Articles | Citation Tracking  INNOVATIONS IN EDUCATION AND CLINICAL PRACTICE Creating a Quality Improvement Elective for Medical House Officers Received from the Department of Medicine (SNW, AT, MDA, KS), Stoneman Center for Quality Improvement in General Medicine and Primary Care, and Department of Healthcare Quality (JD, KS), Beth Israel Deaconess Medical Center; and Harvard Medical School (SNW, AT, MDA, KS), Boston, Mass. An abstract of this project was presented at the 6th annual meeting of the Society of Hospital Medicine, San Diego, Calif, April 1–2, 2003. Copyright © 2004 by the Society of General Internal Medicine KEYWORDS quality improvement • patient safety • interns and residents • medical education J GEN INTERN MED 2004;19:861–867. ABSTRACTThe Accreditation Council on Graduate Medical Education (ACGME) requires that house officers demonstrate competencies in "practice-based learning and improvement" and in "the ability to effectively call on system resources to provide care that is of optimum value." Anticipating this requirement, faculty at a Boston teaching hospital developed a 3-week elective for medical house officers in quality improvement (QI). The objectives of the elective were to enhance residents' understanding of QI concepts, their familiarity with the hospital's QI infrastructure, and to gain practical experience with root-cause analysis and QI initiatives. Learners participated in three didactic seminars, joined hospital-based QI activities, conducted a root-cause analysis, and completed a QI project under the guidance of a faculty mentor. The elective enrolled 26 residents in 3 years. Sixty-three percent of resident respondents said that the elective increased their understanding of QI in health care; 88% better understood QI in their own institution. |  |
