title: The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum to Train Future Leaders in Patient Safety and Quality Improvement.
abstract: The objective was to determine if a year-long, multispecialty resident and fellow quality improvement (QI) curriculum is feasible and leads to improvements in QI beliefs and self-reported behaviors. The Armstrong Institute Resident/Fellow Scholars (AIRS) curriculum incorporated (a) a 2-day workshop in lean sigma methodology, (b) year-long interactive weekly small-group lectures, (c) mentored QI projects, and (d) practicum-based components to observe frontline QI efforts. Pre-post evaluation was performed with the Quality Improvement Knowledge Application Tool (QIKAT) and the Systems Thinking Scale (STS) using the Wilcoxon matched-pairs signed-rank test. Sixteen residents and fellows started the AIRS curriculum and 14 finished. Scholars' pre and post mean scores significantly improved: STS 3.06 pre versus 3.60 post (P < .01) and QIKAT 1.24 pre versus 2.46 post (P < .01). Most scholars (92%) agreed that skills learned in the curriculum will help in their future careers. A multispecialty QI curriculum for trainees is feasible and increases QI beliefs and self-reported behaviors.
authors.affiliation: The Children's Hospital at Montefiore and the Albert Einstein College of Medicine, Bronx, NY mrinke@montefiore.org.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Rinke
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Clare K
authors.initials: CK
authors.lastname: Mock
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Nichole M
authors.initials: NM
authors.lastname: Persing
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Melinda
authors.initials: M
authors.lastname: Sawyer
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Elliott R
authors.initials: ER
authors.lastname: Haut
authors.affiliation: Cancer Treatment Center of America, Southeastern Regional Medical Center, Newnan, GA.
authors.forename: Nathan J
authors.initials: NJ
authors.lastname: Neufeld
authors.affiliation: The Johns Hopkins University School of Medicine, Baltimore, MD.
authors.forename: Paul
authors.initials: P
authors.lastname: Nagy
mesh_terms: D000047:Academies and Institutes / Q000458:organization & administration; D001291:Attitude of Health Personnel; D003479:Curriculum; D005257:Fellowships and Scholarships / Q000458:organization & administration*; D006801:Humans; D058025:Interdisciplinary Studies; D007396:Internship and Residency / Q000458:organization & administration*; D061214:Patient Safety; D058996:Quality Improvement; D014481:United States
keywords: education; fellows; patient safety; quality improvement; residents