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Quality Improvement in Graduate Medical Education. Expires 13/4
Dr. Chris Nabors
ABSTRACT
This lecture describes the quality improvement initiatives of Westchester Medical Center’s Internal Medicine Residency Training Program following enrollment in the ACGME/RRC Educational Innovations Project (EIP). The centerpiece of the EIP involved the creation of an “Administrative Internship”, a curriculum which permits trainees to rotate through various hospital departments such as risk management, quality improvement, pharmacy, and other areas to gain a perspective on hospital operations which could enable the clinician to function more effectively as a care provider. During several AI rotations, the house officer is involved in designing and carrying out quality improvement projects. Some of the larger projects have resulted in modifications of the hospital’s handoff and communications infrastructure and to new safety related processes.
House officers trained in the administrative internship have played and continue to play an important role driving forward a number of quality improvement initiatives at the Medical Center, including permitting correct provider location by electronic white boards, the instant messaging of critical laboratory results and the development of a handheld sign-out system with instant messaging capability an a built-in events reporting module. The various projects initially started in relationship to the EIP have benefited the Medical Center in a number of important ways and have led to several awards for the Medical Center. The participants in the EIP project have concluded that the incorporation of quality improvement into graduate training has been highly beneficial to graduates and trainees, as well as the institution supporting their efforts.
OBJECTIVES:
To appreciate methods to incorporate training in Quality Improvement into Graduate Medical Education.
To understand how new technologies may improve patient safety and quality of medical care.
Mission of Continuing Medical Education.
The Committee For Innovations In Medical Education is committed to providing outstanding
patient care and promoting physician innovations through excellence in medical education.
To achieve this mission, the Committee affirms its support of the medical staff by
endorsing and providing a comprehensive program of continuing medical education (CME)
designed to address the identified needs of physicians and other health care professionals.
To keep physicians in the forefront of current knowledge, the CME program shall be broad
and diverse enough to provide a wide array of presentations by leading experts.
Programs will be designed to improve scientific knowledge, clinical skills and professional
concern for the interests and rights of patients.
The Committee For Innovations In Medical Education , recognizes its responsibility to utilize its
resources to contribute to the education of the profession regionally, nationally and internationally
to enhance physicians ability to practice the highest level of medicine. The CME program accomplishes
this goal by supporting departments and faculty who undertake the design and development of
CME activities that enrich the arena of professional continuing medical education. The Committee,
through its CME program, is committed to keeping abreast of, and developing, new methods of delivering
CME, as techniques for accomplishing this become available to the scientific community.
Copyright © 2007 The Committee for Innovations in Medical Education . All Rights Reserved. Designed by Summa Consulting.
Statement of Need:
This is an online version of selected live Medical Grand Rounds lectures, including the special series “Updates in Internal Medicine”. For those physicians, physician assistants and nursing staff who are unable to attend the live presentation, this presentation allows access to this lecture information for CME credit at a convenient time and in a location of their choosing. The expected outcome of this educational activity is improved knowledge and improved clinical practice for optimal clinical management of patients.
CME Course Director:
Howard Kerpen, MD, FACP
Lorber Professor of Medical Education
Albert Einstein College of Medicine
Director
Bette & Jerome Lorber Center for the Advancement of Medical Education
Long Island Jewish Medical Center
CME Content Reviewer:
Harry Steinberg, MD, FACP
Executive Vice Chairman of Medicine –Dept of Medicine
Edward Meilman Professor of Clinical Medicine
Albert Einstein College of Medicine
Target Audience:
This activity has been developed for physicians, physician assistants and nursing staff in the community who cannot attend the weekly live Medical Grand Rounds regularly scheduled series.
Educational Goal:
The goal of this activity is to provide physicians in the community with the most up-to-date information based on the latest research and practices available for the purpose of improving the diagnosis and treament of their patients. The ultimate goal is to improve clinical practice of the participating physicians, physician assistants and nursing staff to insure optimal patient management and outcomes.
Learning Objectives:
These CME activiites are designed to improve patient care. After participating in these activities, the participant should be able to:
1. Improve awareness of certain disease states so that timely dianoses can be made, and appropriate therapies/interventions can be initiated in order to improve quality of life.
2. Improve knowledge of latest techniques, emerging therapies, and the underlying basic science in order to determine the best course of treatment for patients.
3. Improve management of diseases so that patients can have resolution of signs and symptoms of their disease with improved clinical outcomes.
Accreditation:
North Shore-Long Island Jewish Health System is accredited by the Accreditation Council for Continuing Medical Education to provide Continuing Medical Education to physicians.
Credit Designation:
The North Shore-Long Island Jewish Health System designates the Continuing Medical Education activity for a maximum of 1 AMA PRA™ Category 1 credit. Physicians, physician assistants and nursing staff should only claim credit commensurate with the extent of their participation in the activity.
Method of Physician Participation
After participants complete the presentation, they are asked to take post-test and demonstrate that they participated in the program. A passing grade is required in order to received CME credit for each lecture session. If participants fail the test, they will have the opportunity to retake the test until a passing grade is achieved. The post-test and evaluation of the program will be the mechanism by which participants receive CME credit. Each session is reviewed by a faculty presenter who will provide and/or review the objectives and post-test for each session. The software program automatically grades the tests. After passing the test, participants will be able to pring a page verifying the successful completion of the lecture session.
This online erion of the RSS will benefit the following:
11. Physicians, physician assistants and nursing staff who were unable to attend the live RSS to gain the same educational experience.
2. Physicians, physician assistants and nursing staff who attended the live RSS will be given the opportunity to hear the presentation again in order to reinforce the information as needed (for informational purposes only)
To receive credit, the articpant must:
1. Access the designated website ((www.medfoundation.org)
2. Review the required text and information specific to the lecture session
3. Complete the presentation, in the order in which it was presented
4. Complete the post-test for the session
5. Complete a program evaluation for the session
6. Print a successful completion page
Estimated Time to Complete Activity:
The activity will take place during the academic year 2010-2011 and should take approximately 1 hour per lecture to complete.
System Requirements:
The hardware requirement for this program is any computer with internet access
The software requirement is Windows Media Player (or similar)
Disclosure Policy:
North Shore-Long Island Jewish Health System adheres to the ACCME’s New Standards for Commercial Support. Any individuals in a position to control the content of a CME activity, including faculty, planners and managers, are required to disclose all financial relationships with commercial interests. All identified potential conflicts of interest are thoroughly vetted by North Shore-Long Island Jewish for fair balance and scientific objectivity and to ensure appropriateness of patient care recommendations.
Disclosures:
Faculty:
• Howard Kerpen, MD has nothing to disclose
• Harry Steinberg, MD has nothing to disclose
Planners and Managers:
• Betty Kerpen has nothing to disclose
Provider Contact Information:
If there are any questions with respect to this activity, please contact North Shore-Long Island Jewish Health Sytem Office of Continuing Medical Education, 175 Community Drive, Great Neck, NY 11021. Phone: 516-465-2500; Fax: 516-465-8204
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1. General Information Collection
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2. Limitations on Disclosures:
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