1. Jumpstarting Faculty Development for Teaching Quality Improvement and Patient Safety:
A Team-based Approach
Anna Chang, Shannon Fogh, Patricia O’Sullivan, Sandrijn van Schaik, Melissa Haehn, Audrey Lyndon, Bridget O’Brien, Sumant Ranji, Glenn Rosenbluth, Niraj Sehgal, Jeff Tabas, and Robert B. Baron
2016 WGEA
6/11/2018
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2. Background/Purpose
Quality Improvement (QI) and Patient Safety (PS) have become cornerstones of healthcare delivery, but few faculty can teach the associated knowledge and skills
American Association of Medical Colleges (AAMC) has a “Teaching for Quality” (Te4Q) faculty development program
Aims to help institutions with development of educators in QI/PS
Consists of 1.5 day workshop followed by year dedicated to mentored educational projects
Space for ~ 30 faculty per workshop
UCSF to provide mentorship, ensure projects get completed
6/11/2018
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3. Methods: a team-based approach
Discussion with key stakeholders
Proposed candidates for program
Identified priority areas for educational projects
Basic QI/PS for faculty & staff
Resources for CMC faculty
Module for clerkship directors
GME toolbox
Teach for UCSF certificate program
Educators across continuum
Clinicians
QI Leaders
Junior/Senior
Across campus
Across schools
Candidates chose project
Project teams
Regular meetings of team leaders to ensure coordination
Individual teams responsible for project execution
6/11/2018
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4. Model for proficiency in systems skills
Our model recognizes that there is, and should be, overlap between teaching systems skills and applying such skills to patient care
PATIENT CARE
Clinical faculty – Clinic/Unit leaders – Unit-based leadership teams – QI/Patient Safety leadership
Proficient
Expert
Master
Teaching faculty – CMC lead faculty – Clerkship directors – GME directors – Faculty developers
EDUCATION

5. Faculty development offerings
PATIENT CARE
Clinical faculty – Clinic/Unit leaders – Unit-based leadership teams – QI/Patient Safety leadership
Proficient
Expert
Master
Teaching faculty – Clerkship faculty – Clerkship directors – GME directors – Faculty developers
EDUCATION
Objectives
Define the Model for Improvement using Plan/Do/Study/Act cycles
Identify the champion for QI in their clinical microsystem
Identify an activity in their clinical environment that they would like to improve and describe options for improving the performance of that activity
Teach core QI/PS topics and model the associated behaviors and skills
Describe milestones/EPAs for learners within the program/clerkship
Define learning gaps within residency/clerkship related to QI/PS
Develop goals and objectives for quality and safety within residency/clerkship programs
Develop a specialty-specific tailored curriculum in QI/PS for their trainees
Collaborate with appropriate CPI champion to implement trainee-driven QI/PS projects
Assess trainees’ performance in QI/PS projects and map this milestones
Identify and utilize existing dashboards and safety metrics for their specialty and develop learner specific feedback
Demonstrate effective strategies to engage learners across professions and the continuum in QI/PS
Employ QI/PS tools as a mechanism to develop teaching strategies based on assessment of learner knowledge, skills and attitudes
Facilitate learner reflection around QI/PS issues.
Design experiential learning activities for learners to apply QI/PS concepts
Mentor learners in participation at any phase of a quality improvement and patient safety project.
Objectives
Our model recognizes that there is, and should be, overlap between teaching systems skills and applying such skills to patient care
Continuous Process Improvement (CPI) Modules
CMC faculty resources
Clerkship director module & toolkit
GME Toolkit
Teach for UCSF Certificate
Faculty development offerings

6. Example Projects
6/11/2018
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7. Continuous Process Improvement Training for Faculty & Staff
Coordinated content between Undergraduate Medical Education, Graduate Medical Education, and UCSF Health to ensure a common set of skills and vocabulary For more information:
Will insert links when ready
6/11/2018
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8. Clerkship Director Toolbox

10. Small group discussion
Using the template, think about
The stakeholders at your institution for faculty development in teaching of QI/PS
Potential candidates who could carry out educational projects/jumpstart faculty development
Priorities for educational projects

11. Group discussion template
Key stakeholders at your institution
_______________
Possible candidates/champions
Priority areas for educational projects
_______________
_______________
6/11/2018
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12. Small group discussion – part 2
To implement this at your institution:
What resources do you need?
What barriers do you foresee?
Think about implementation AND sustainability