학술논문
Engaging GME Learners in Health System-Aligned Improvement Work in the Clinical Learning Environment.
Document Type
Academic Journal
Author
Rosenbluth G; Department of Pediatrics, University of California, San Francisco, CA.; Office of Graduate Medical Education, University of California, San Francisco, CA.; Choi LW; Department of Medicine, University of California, San Francisco, CA.; Continuous Improvement Department, UCSF Health, San Francisco, CA.; Boscardin CK; Department of Medicine, University of California, San Francisco, CA.; Depertment of Anesthesia, University of California, San Francisco, CA.; Center for Faculty Educators, University of California, San Francisco, CA.; Gonzales R; Department of Medicine, University of California, San Francisco, CA.; Green A; Department of Medicine, University of California, San Francisco, CA.; Hernandez A; University of California, Davis, School of Medicine, Davis, CA.; Vidyarthi AR; Department of Medicine, University of California, San Francisco, CA.; Private Medical, San Francisco, CA.; Julian KA; Office of Graduate Medical Education, University of California, San Francisco, CA.; Department of Medicine, University of California, San Francisco, CA.; Baron RB; Department of Medicine, University of California, San Francisco, CA.
Source
Publisher: Wolters Kluwer Health Country of Publication: Netherlands NLM ID: 9300756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-824X (Electronic) Linking ISSN: 10628606 NLM ISO Abbreviation: Am J Med Qual Subsets: MEDLINE
Subject
Language
English
Abstract
Alignment between graduate medical education (GME) and health system priorities is foundational to meaningful engagement of residents and fellows in systems improvement work within the clinical learning environment. The Residents and Fellows Leading Interprofessional Continuous Improvement Teams program at the University of California San Francisco was designed over a decade ago to address barriers to trainee participation in health system-based improvement work. The program provides structure and support for health system-aligned trainee-led improvement projects in the clinic learning environment. Project champions (residents/fellows) from GME programs attend workshops where they learn improvement methodologies and develop proposals for health system-based improvement projects for their training programs. Proposals are supported by local faculty mentors and are reviewed and approved by GME and health systems' leaders. During the academic year, teams share their progress using visual management boards and interactive leader rounds. The health system provides a modest financial incentive for successful projects. Since the program's inception, thousands of trainees from 58 residency and fellowship programs have participated either as champions or participants in the program at least once, and in total over 300 projects have been implemented. Approximately three-quarters of the specific improvement goals were met, all projects meaningfully engaged residents and fellows, and many projects continued after the learners graduated. This active partnership between GME and a health system created a symbiotic relationship; trainees received education and support to complete improvement projects, while the health system reaped additional benefits from the alignment and impact of the projects. This partnership continues to grow with steady increases in participating programs, spread to partner health systems, and scholarship for trainees and faculty.
(Copyright © 2023 the American College of Medical Quality.)
(Copyright © 2023 the American College of Medical Quality.)