How can teaching and assessment be enhanced around patient safety, resource stewardship and/or quality improvement?
Earlier this year, we asked residents from across Canada and around the world that question, and they came back to us with some truly thought-provoking answers. Inspired by the theme for the 2016 International Conference on Residency Education (ICRE) and the International Resident Leadership Summit (IRLS); Advancing Quality: Aligning Residency Education and Patient Care, the 2016 IRLS Resident Contest challenged resident leaders to offer their unique perspectives on how to bridge existing gaps in health care quality.
After much debate and deliberation, the review board has chosen this year’s winners:
- Justin Hall, University of Toronto
- Gurpreet Jaswal, Queen’s University
- Tim Nguyen, Western University
Below is the winning entry from Dr. Nguyen.
Dr. Wong1 published a comprehensive guideline to designing and implementing a quality improvement curriculum within a residency program. His curriculum template described a mix of didactic lectures and workshops that inform a longitudinal, small-group project. As an incentive, projects were presented at an annual quality improvement conference including merit awards. Several assessment methods were discussed including self-assessment, standardized tools, and portfolios. This excellent framework has provided the foundation from which my own ideas have grown.
Incorporating quality improvement as a mandatory component of residency training may not achieve the same richness of education that would occur if residents were truly motivated and appreciative of the benefits of quality improvement training. How do we motivate residents to want to learn about quality improvement? Here are a few ideas:
- Establish an annual local, provincial and/or national quality improvement competition. Residency programs send teams to compete for ranked prizes, which can include funding for those residents to bring their ideas into fruition at their home institution. This is similar to a quality improvement day, except with a more apparent competitive slant. Residents, given their training and career path, are often competitive individuals and this angle may be more appealing than a standard conference. This also promotes comradery and program-pride which can be strong motivators. Teams can present longitudinal projects that are developed and refined leading up to the competition. Competitive events with less preparation can also be offered, such as presenting residents with a problem on site and having them develop a strategic plan based on principles of quality improvement within a specified time frame. The event would essentially be a “quality improvement Olympics”.
- Locally, individual institutions can have residents collaborate with key hospital stakeholders to develop quality improvement plans for real, current problems. A commitment can be made by hospital leadership to fund and help implement strategies that show a measurable benefit. Alternatively, a competition between departments can be held (with resident teams representing their respective departments) to develop the best quality improvement plan. The winning team would receive funding to enact those changes in their own department. This also creates incentive for staff mentors/supervisors to become more enthusiastically involved with quality improvement teaching.
- Assessment: residents maintain a portfolio and collect a required number of “quality improvement” credits (like CME credits) based on competition participation, lectures/workshops attended, webcasts completed, etc.
- http://www.royalcollege.ca/portal/page/portal/rc/common/documents/canmeds/resources/publicat ions/teaching_quality_improvement_in_residency_education_e.pdfBy Dr. Tim Nguyen, Western University (Radiation Oncology, PGY 3)
– By Dr. Tim Nguyen, Western University (Radiation Oncology, PGY 3)
All three of our contest winners will receive free registration to IRLS 2016, and the opportunity to showcase their cutting-edge ideas during the September 29 – October 1 conference in Niagara Falls, Canada.
Still haven’t secured your spot at this year’s conference?