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The Quality and Patient Safety Fellowship is intended to develop the future leaders in systems-based improvements and scholars in quality and patient safety. Academic Medical Centers are charged with training the next generation of health professionals. As regulatory bodies heighten their emphasis on the quality and safety of patients in health care, it is evident that we must attempt to educate new physicians and students on the core concepts of quality improvement and patient safety. Recognizing the need for a comprehensive system wide cross disciplinary curriculum for quality and patient safety, the Cincinnati VA Medical Center, in collaboration with the University of Cincinnati, Department of Internal Medicine, designed the Quality and Patient Safety Fellowship.
Education of physicians is a priority in this effort. There is a need to teach providers how to view the delivery of individual patient care from the prism of improving overall value and quality of care for a larger group of patients within a healthcare system. The Quality and Patient Safety Fellowship Program offers a one year fellowship designed for scholars with an interest in promoting a culture of patient safety and quality improvement. Scholars will provide outreach to Internal Medicine residents and staff in systems-based safety and quality improvement activities.
The Quality and Patient Safety Fellowship will train clinicians to be master internal medicine quality and patient safety educators through a curriculum that provides a balanced educational experience in training in a mentored environment and teaching in an environment that promotes innovation, scholarship, and dissemination.
Each applicant will have 2 levels of mentorship:
Projects will be resident/fellow-driven, mentored projects based upon interest of the applicant and a perceived need for improvement in quality of care and patient safety. The program will facilitate appropriate mentorship within the Cincinnati VAMC, depending on the scholar and the topic, and encourage cross-disciplinary collaborations. A detailed narrative including problem/issue identification, evaluation of remediation strategies, proposed implementation of intervention, pre- and post-intervention evaluation strategies, and final outcome improvement recommendations will be developed. The information technology within the Cincinnati VA Medical Center allows the prospective documentation of health indicators and outcomes. Additional statistical support for analysis may be provided through the statistical core of the Cincinnati Center for Clinical and Translational Science and Training. The scholar will be encouraged to undertake a project that will lead to a publication in a peer-reviewed journal.
Quality and Patient Safety Fellow-led teaching opportunities
Development of the scholar’s project will include the development of a specific assessment tools for evaluation of both the quality and patient safety scholar and the effects of the quality improvement or safety measure implemented during the project. Evaluation plans will include measures for:
The James M. Anderson Center for Health System Excellence offers an Advanced Improvement Methods program to train faculty in the advanced methods of quality improvement such as factorial design, advanced control charts and segmentation that allow them to publish rigorous quality-improvement projects in refereed journals and conduct quality-improvement research”; the scholar is encouraged to apply to participate in this intensive training program if appropriate.
Certificate course in clinical epidemiology and biostatistics can be achieved during this year, and credits towards a masters program are potentially possible.
Longer-term career development program include the VA National Quality Scholars Fellowship Program and the Quality Scholars Program offered through the Anderson Center. The program will also promote applicants to pursue federally funded mentored career development awards that focus on implementation/quality improvement/patient safety research (e.g. Veterans Health Administration/Agency for Healthcare Research and Quality).
Dr. Charuhas Thakar
The Quality and Safety Fellowship Director
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Liz BaukeProgram ManagerPhone: 513-558-2590Email: Elizabeth.Bauke@uc.edu
Medical Sciences Building Room 6065231 Albert Sabin WayPO Box 670557Cincinnati, OH 45267-0557
Phone: 513-558-4231Fax: 513-558-0852Email: firstname.lastname@example.org