• Define personal goals/interest/motivation • Why are you doing this? • Identify key residents & faculty • Who should you work with? • Start small • What is our first goal? • Discuss “getting started” • Identify benefits of involvement with resident scholarly activity • Examples of past & current PA involvement with QI and research • Milestone data • M&M files • New Innovations • Surveys • Professional Development • Interactions with residents and faculty • Camaraderie and awareness • ACGME requires scholarly activity • Clinical Research is a GME and Institutional pillar Project Goal: Demonstrate the financial and intangible value of surgery residents. Role: Streamlined report distribution of Resident Duty Hours and Resident Scholarly Activity. Project Goal: HSQC goal to improve GME QI Education. Role: Created HSQC QI Education Survey, distributed, provided results. Project Goal: Standardize Trauma Care. Role: Created survey and analyzed survey responses. Jan 15 Jan 16 Jan 17 0 1 2 3 4 PGY 5 PGY 4 PGY 3 PGY 1 PGY 2 PGY 2 PGY 1 PGY 3 PGY 1 Figure. Practice-Based Learning and Improvement (PBLI3) Milestone addressing QI activity and competence. Median score for each PGY class improve over time (Jan 2015-Jan 2017p<0.007). Friedman test compares individual resident scores over time. Project Goal: Assess success of QITI. Role: Milestone data collection. Objectives/Goals Surgery Value Analysis 911 Trauma Team Quality Improvement Getting Started Benefits of Involvement Methods & Tools HSQC RCA Education Take Home Points • Identify Allies • Meet, meet again • Set timeline & goals Leadership Roles - House Staff Quality Council - Program Administrator Liaison RCA Simulation Work Group - GME Executive Patient & Safety Committee Member Have you participated in an RCA?
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• Define personal goals/interest/motivation
• Why are you doing this?• Identify key residents & faculty• Who should you work with?• Start small • What is our first goal?
• Discuss “getting started” • Identify benefits of involvement with
resident scholarly activity• Examples of past & current PA
involvement with QI and research
• Milestone data• M&M files• New Innovations• Surveys
• Professional Development • Interactions with residents and faculty• Camaraderie and awareness • ACGME requires scholarly activity• Clinical Research is a GME and
Institutional pillar
Project Goal: Demonstrate the financial and intangible value of surgery residents.
Role: Streamlined report distribution of Resident Duty Hours and Resident Scholarly Activity.
Project Goal: HSQC goal to improve GME QI Education.Role: Created HSQC QI Education Survey, distributed, provided results.
Project Goal: Standardize Trauma Care. Role: Created survey and analyzed survey responses.
Pre Post P-value General Knowledge
I generally understand NSQIP data collection practices. 3.8 4.2 0.09
I understand how to interpret a six-month NSQIP report.
3.4 4.1 0.003
I am familiar with "lean" strategies or "Six Sigma." 2.6 2.9 0.4 I have looked at my personal surgeon report from our NSQIP data and am able to interpret it.
3 3.5 0.2
Attitude I believe that participation in NSQIP and NSQIP tools (risk calculator) is helpful in improving quality surgical care.
4.2 4.5 0.1
I believe that quality improvement training is an important part of resident education.
4.2 4.4 0.2
I believe quality improvement projects improve patient care.
4.2 4.5 0.05
I believe our surgical leadership embraces and follows quality improvement principles and initiatives.
4.1 4.5 0.09
I have the knowledge and skill by which to implement a quality improvement project.
3.8 4.2 0.04
Participation I have participated in a quality improvement project prior to today's date.
4.0 4.8 0.006
Table 1. Results from pre- and post-didactic survey of 25 residents (3 PGY 1, 5 PGY2, 6 PGY3, 4 PGY4, 5 PGY5, 2 PGY 6). Pre-and post-didactic results are compared using Wilcoxon matched-pairs signed rank test, with each resident as their own control. Questions demonstrating improvement are bolded (p<0.05).
Along with clinical outcomes, success of a surgical residency QITI Curriculum can be measured using internal and
external metrics.
Significance StatementMeasuring QI Curriculum
success is critical to adaptation and curriculum improvement.
Lessons Learned• Quantifyingsuccesswith
residentQIeducationisdifficult,butcanbeassessedusinginternalandexternalmetrics.
• ACGMEMilestonedatacantrackverticalandhorizontalchangeandreflectimprovingdepartmentalfamiliaritywithQI.
MM Mrdutt, JL Regner, T Isbell, B Hodges, JS Thomas, HT Papaconstantinou, CL IsbellDepartment of Surgery, Scott & White Medical Center, Temple, TX
Internal and External Assessment of a Successful Quality Improvement Curriculum in Surgery
Scott&WhiteMedicalCenter– Temple
Methods• Objectivetoolstoassessprogresswereincludedinourupdated
QITIcurriculum.• Internalassessmentincludes:pre- andpost-didacticself-
reportedsurveyaddressingknowledge,attitudeandparticipationandQIspecificscholarlyactivity.
• ExternalassessmentincludedACGMESurgicalMilestonePBLI3.
Jan 15 Jan 16 Jan 170
1
2
3
4
Median PBLI3 Class Over Time
PGY 5PGY 4PGY 3
PGY 1PGY 2
PGY 2
PGY 1
PGY 3
PGY 1
Figure. Practice-Based Learning and Improvement (PBLI3) Milestone addressing QI activity and competence. Median score for each PGY class improve over time (Jan 2015-Jan 2017p<0.007). Friedman test compares individual resident scores over time.
Project Goal: Assess success of QITI. Role: Milestone data collection.
Objectives/Goals Surgery Value Analysis
911 Trauma Team
Quality Improvement
Getting Started
Benefits of Involvement
Methods & Tools
HSQC RCA Education
Take Home Points• Identify Allies • Meet, meet again • Set timeline & goals
Leadership Roles- House Staff Quality Council - Program Administrator Liaison RCA
Simulation Work Group- GME Executive Patient & Safety
Committee MemberHave you
participated in an RCA?
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