Today is Thursday, Nov. 22, 2018

Department of

Department of Internal Medicine

Residency Programs

Quality Improvement Training

Quality Improvement

Our goal is to ensure that all of our residents graduate possessing the tools to contribute to quality initiatives as fellows and faculty. We have an experiential Med-Peds specific QI curriculum that is team-based, longitudinal, and focused on care of our residents’ clinic patients.  Our residents learn the Model for Improvement framework and use tools developed by CCHMC’s nationally-recognized Anderson Center to work through QI projects from start to finish.  Some highlights of our QI experiences include:


  • Robust, personalized clinic performance data. Our residents receive confidential monthly reports showing their personal performance on multiple outcome metrics (e.g. vaccination rates, preventative health metrics, etc.).These reports are used solely for resident self-reflection and improving their care delivery, not for summative (grading) purposes.
  • Defense of the Measures1– Our residents decide which clinical measures are followed in our performance data dashboards.  Each year at the Internal Medicine Academic Half Day, residents present updated evidence on various measures (e.g. PSA screening, mammogram intervals, etc.) to ensure our dashboard is in line with the latest evidence.  Residents vote to determine any changes that will be made to the metrics each year. In this way, residents lead the way on shaping our performance data.
  • Inpatient QI experience at CCHMC – Residents rotating on Purple team participate in a longitudinal inpatient QI project with coaching from one of our QI faculty. QI projects from this rotation have led to publications2 and presentations at national meetings.
  • One-on-one QI didactic sessions with our Med-Peds QI APD during ambulatory rotations. You will receive one-on-one didactic time to learn the tools and methods of the Model for Improvement.
  • We also have experts in Lean methodology available to mentor our residents, as well as advanced QI experiences (both in Model for Improvement and Lean) through the Anderson Center for those who are passionate about quality improvement and looking for even more advanced training.

QI website

Our residents and faculty strive to deliver safe, effective, quality patient care, and we will provide you with opportunities for continuous improvement while learning QI strategies.

  1. Warm EJ, Jacobs N, Neville J, Schauer D. Defense of the Measures: A Tool for Engaging Integrated Care Teams in Outcomes Measurement. Journal of graduate medical education. 2014;6(2):370-372.
  2. Tchou MJ, Girdwood ST, Wormser B, et al. Reducing Electrolyte Testing in Hospitalized Children by Using Quality Improvement Methods. Pediatrics. 2018;141(5):e20173187.

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More Information

For more information on the Medicine-Pediatrics Residency Program, please contact us at:

Medicine-Pediatrics Residency Program
UC Department of Internal Medicine
231 Albert Sabin Way
Mail Location 0535
Cincinnati, OH 45267-0535

Phone: 513-584-0397
Fax: 513-584-0369
Email: ucintmed@uc.edu

Program Director:
Jennifer K. O’Toole, MD, MEd
Associate Professor of Internal Medicine and Pediatrics