Our residency program piloted an innovative quality improvement (QI) educational curriculum in 2005 - a faculty project that recently won second prize at a national educational conference.
At the beginning of the PGY2 year residents receive a formal didactic on the importance of QI/QA and 'nuts and bolts' how-to: from design, to data collection, to analysis, implementation and maintenance of achieved improvements. Residents then choose a project based in their own continuity clinic practice to analyze and suggest improvements. Residents then present their completed project to the department.
Examples of Recent QI/QA questions that led to QI projects:
- Are we routinely screening our gestational diabetic patients at the 6 week post-partum visit? Project developed resident and nursing education, EMR prompts
- Are we giving our patients dTDP vaccine as recommended by the CDC? Project involved wide-spread education in clinic and on post-partum floors, Grand Rounds presentations, education
- Do we have adequate emergency procedures a vaginal delivery in clinic? Project involved workshops for ancillary staff, development of a non-expiring emergency delivery kit, coordination with different departments
- How can we better prepare residents for colposcopy clinic? Project developed an on-line teaching module for residents who want to learn or brush up on coloposcopy. Change resident schedules to allow for continuity of care re: colposcopy
- What is our clinic's compliance with the 12/2009 updated PAP smear screening guidelines? Development of a user-friendly tool for clinicians.