Quality Improvement and Physician Leadership Distinction Pathway Robert

Quality Improvement and Physician Leadership Distinction Pathway Robert Fogerty, MD, Jeremy Schwartz, MD and Naseema B Merchant, MD SLIDE

Distinction Pathway Leadership Resident leaders- Faculty co-leaders • Robert Fogerty, MD • Jeremy Schwartz, MD • Naseema B Merchant, MD Faculty mentors: • Craig Gunderson, MD (VA) • Olukemi (Kemi) Akande, MD (York Street Campus) Chief resident mentors • Benjamin Rodwin, MD (VA Campus) SLIDE 1

Authorship and Design • Robert Fogerty, MD • Jeremy Schwartz, MD • Naseema B Merchant, MD SLIDE 2

Why make a distinction pathway? • Limited structured time for longitudinal training in QI • Scattered QI opportunities may be challenging to independently navigate • Lack of structured mentorship may increase the risk of frustration and disengagement with QI SLIDE 3

Mission Statement • This distinction pathway will provide focused, hands-on training and a real-world experience in understanding the science behind systems of health care delivery through: – skill building sessions – longitudinal committee work – participation in a mentored QI project • Trainees will experience a customized opportunity to acquire the skills, confidence, and knowledge necessary to begin a journey toward national prominence in QI and Physician Leadership SLIDE 4

Components • Didactic lectures, workshops, and self-paced curriculum • Engagement in QI initiatives • Participation in a mentored QI project • Presentation of a longitudinal project SLIDE 5

Engagement in QI Initiatives Requirement: Formally join a standing hospital committee with endorsement of the committee chair Goals: • Gain exposure to committee work and inter-professional relationships in a real-world setting • Provide an opportunity to develop skills related to managing clinical work and administrative tasks • Broaden leadership style exposure via interacting with leaders at YNHH and WH VA SLIDE 6

Engagement in QI Initiatives- cont. Expectations: • Attend committee meetings and learn to balance clinical and administrative responsibilities • Follow minutes and workflow of committee • Participate fully in tasks assigned from the committee SLIDE 7

Engagement in QI Initiatives- cont. Sample Target Committees: • DVT/PE Committee- YNHH • Lab Formulary Committee- YNHH • RL Solutions Committee- YNHH • Patient Safety Committee- WHVA • Infection Control Committee- WHVA • Patient Flow Committee- WHVA • Patient Safety Champions Sub-committee- WHVA SLIDE 8

Participation in a Mentored QI Project Requirement: • Select and work on a longitudinal project Goals: • Learn project selection, development, execution, and leadership skills • Learn effective and efficient oral presentation and communication skills • Experience the realities of a QI project, including but not limited to the frequent failures associated with realworld QI projects SLIDE 9

Participation in a Mentored QI Project- cont. Expectations: • Identify a longitudinal faculty mentor for a project • Design and execute a small project through to completion, investing ~80 -100 hours distributed over PGY 2 and PGY 3 years • Create an oral presentation or abstract S L I D E 10

Participation in didactics Requirement: • Attend at least 3 quarterly sessions of a QI and leadership development series Goal: • Acquire knowledge and build skills through small group learning S L I D E 11

What will you gain? Mentored QI project: • First-hand experience and skill development in selecting and progressing through a QI project Committee work: • Learn to be an active and meaningful participant in a health care committee • Understand how to lead a successful, collaborative, and productive committee Didactics: • Acquire strong skills helpful for your committee and project work • Build your repertoire in your pursuit for a leadership position in QI or systems redesign in health care S L I D E 12

Tracking Activities • Go to Med. Hub • Click Portfolio (upper right hand corner) • Next, using the drop down menu, scroll to “QI and leadership distinction” S L I D E 13

Tracking Activities- cont. • Options for tracking for the QI and leadership distinction will be at the bottom • Please ensure that the checkbox allowing mentors to view your log is selected when completing an entry QI and leadership distinction-committee QI and leadership distinction-project submission QI and leadership distinction-project working QI and leadership distinction-didactics QI and leadership distinction-leadership huddle S L I D E 14

What do you need to earn distinction? • Completed longitudinal project • Committee report • Didactics requirement (3 out of 4 per year) • Med. Hub activity log S L I D E 15