Navigation Links
Quality improvement educational initiative proves to be a model program for surgical residents

Chicago (June 4, 2013): Researchers at Northwestern University Feinberg School of Medicine, Chicago, have developed a novel graduate medical education initiative that enables surgical residents to hone their skills in quality improvement (QI). Surgical trainees who completed the year-long educational program found the QI training to be beneficial, and more importantly, believe it put them in a position to lead QI initiatives in the future. The report appears in the June issue of the Journal of the American College of Surgeons.

Today, there is little question that quality measurement and QI in health care has become of great importance, yet formal resident training programs that blend both the theory and practice of QI training remain scarce.

"Clearly, quality improvement is becoming a bigger part of life for our physicians, so we need a way to formally introduce residents to the concepts of QI taking into account formal training in theory and a practical experience so they can implement a process improvement or a quality improvement initiative on their own," said senior author Karl Bilimoria, MD, MS, assistant professor of surgery and director of the surgical outcomes and quality improvement center at Northwestern University's Feinberg School of Medicine.

To bridge this gap, Dr. Bilimoria and his colleagues developed a 12-month curriculum, the Northwestern Surgical Resident Quality Improvement Educational Initiative, that teaches surgical residents the fundamentals of QI theory and then pairs them with process improvement and clinical mentors who can offer guidance as they design and lead their own hands-on QI projects. The aim is to harness residents' perspectives on surgical health care to help improve patient safety and quality throughout hospital systems.

The program teaches residents to ask pointed questions about health care quality issues: What is wrong with the current process? What do we want to achieve? What new processes will we deliver in order to achieve our goals? It also gives them the tools to implement solutions. "Residents always have suggestions about what could be improved, and this program gives them a constructive way to put those suggestions into play," Dr. Bilimoria said.

For the program, surgical trainees undergo eight hours of instruction in QI methodology at the start of their third year. This process entails instruction in Define, Measure, Analyze, Improve, Control (DMAIC) phases. After they complete the training, surgical residents design an independent project that involves analyzing data at both pre- and postintervention phases. Examples of projects include improving on-time operating room starts, reducing operating room turnover time, improving communication between surgery staff and staff in other hospitals service areas, and adherence to sepsis protocols.

During the first three years of the program, which began in 2008, 17 residents completed the curriculum. A total of seven QI projects were developed, with 57 percent completing all DMAIC phases. Additionally, the residents completed an anonymous survey about their experience. The results indicated that 65 percent of the busy residents found the experience to be a good use of their time, and 70 percent believed the program made them well equipped to lead similar initiatives in the future.

"The most important result is that we have put together a formal framework that is effective and that other residency programs can use this blueprint in order to implement a similar quality improvement initiative at their hospital," Dr. Bilimoria said. "We want to expand this program to other departments within our own hospital and other surgery departments at other hospitals, and we hope that we can train all surgical residents around the country in a similar way so that they are well prepared to lead these sorts of initiatives once they are done with their training. As a result, when they are at a different hospital in the future, they can be the clinical leadership for a similar project going forward," he concluded.


Contact: Sally Garneski
American College of Surgeons

Related medicine news :

1. Last Chance for the Sublime Beauty® Serums at 30-Percent Off; Quality Anti-Aging Products Include Retinol Serum, Collagen Peptide Serum and Luxurious Facial Oil
2. Study finds glioblastoma patients treated with bevacizumab experience reduced cognitive function and quality of life
3. Atlanta Hearing Institute Helps Atlanta Hearing Loss Patients Both Young and Old Dramatically Improve Quality of Life
4. St. Elizabeth Health Center Receives American Heart Association’s Get With The Guidelines – Stroke Silver Quality Achievement Award
5. Educated Patients Decrease Fraud and Increase Quality of Care
6. Special 30% Off Weekend Sale of Three New High-Quality Anti-Aging Skin Serums Introduced at Sublime Beauty®
7. Making the World A Brighter Place - DENTCA Provides High Quality CAD/CAM Dentures in Five Days and Just Two Visits.
8. Dimension One Spa Filter Distributor, Easy Spa Parts, Increases Inventory of Factory Authorized Filters to Meet Demand and Eliminate Quality Issues
9. DUXIANA®, Quality Bed Innovator, Celebrates Better Sleep Month and Launches Summer Health Campaign
10. Asthma symptoms impair sleep quality and school performance in children
11. New research identifies practice changes to improve value and quality of GI procedures
Post Your Comments:
(Date:11/27/2015)... ... ... ProSidebar: Fashion is a set of 30 kinetic edge graphics ... editors can easily add an informative sidebar to any FCPX production. Create lists, ... self-animating drop zones, lines, bars, and text with the ease of FCPX's drag and ...
(Date:11/27/2015)... DE (PRWEB) , ... November 27, 2015 , ... ... member of the well-respected Microsoft Dynamics SL User Group (MSDSLUG). Recognized as Microsoft’s ... an independent group of Microsoft Dynamics SL software users, partners, industry experts and ...
(Date:11/27/2015)... ... 2015 , ... Keeping in mind challenges faced by parents ... consultation, has collaborated with a leading web-based marketplace for extra-curricular activities for children ... and bring advice from parenting experts within their reach. As a part of ...
(Date:11/27/2015)... ... November 27, 2015 , ... Dr. Thomas Dunlap and ... and Dr. Tucker Bierbaum with Emergency Medicine at St., Joseph Health System’s Santa ... and Sepsis conditions present in similar ways and require time-critical intervention to avoid large ...
(Date:11/26/2015)... ... November 26, 2015 , ... Patients at Serenity Point ... come together on Thanksgiving Day to share the things that they are most ... Serenity Point YouTube channel, patients displayed what they wrote on index cards, describing ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... , November 26, 2015 ... potential to use SyMRI to find optimal contrast weighting of ... tumor metastases, and has signed a research agreement with SyntheticMR ... the hospital. Using SyMRI, it is possible to generate multiple ... settings after the patient has left, thus making it possible ...
(Date:11/26/2015)... 2015 ... the  "2016 Future Horizons and Growth ... Testing Market: Supplier Shares, Competitive Intelligence, ... --> ) has ... Future Horizons and Growth Strategies in ...
(Date:11/26/2015)... , November 26, 2015 /PRNewswire/ ... --> adds "Global ... and "Investigation Report on China Repaglinide ... 2021 forecasts data and information to ... . --> ...
Breaking Medicine Technology: