Attitudes of Pulmonary and Critical Care Training Program Directors toward Quality Improvement Education.
BACKGROUND
Quality improvement (QI) is a required component of fellowship training in pulmonary, critical care, and sleep medicine. However, little is known about how training programs approach QI education.


OBJECTIVE
We sought to understand the perceptions of pulmonary, critical care, and sleep medicine training program directors toward QI education.


METHODS
We developed and fielded an internet survey of pulmonary, critical care, and sleep medicine training program directors during 2013. Survey domains included program characteristics, the extent of trainee and faculty involvement in QI, attitudes toward QI education, and barriers to successful QI education in their programs.


RESULTS
A total of 75 program directors completed the survey (response rate = 45.2%). Respondents represented both adult (n = 43, 57.3%) and pediatric (n = 32, 42.7%) programs. Although the majority of directors (n = 60, 80.0%) reported substantial fellow involvement in QI, only 19 (26.0%) reported having a formal QI education curriculum. QI education was primarily based around faculty mentoring (n = 46, 61.3%) and lectures (n = 38, 50.7%). Most directors agreed it is an important part of fellowship training (n = 63, 84.0%). However, fewer reported fellows were well integrated into ongoing QI activities (n = 45, 60.0%) or graduating fellows were capable of carrying out independent QI (n = 28, 50.7%). Key barriers to effective QI education included lack of qualified faculty, lack of interest among fellows, and lack of time.


CONCLUSIONS
Training program directors in pulmonary, critical care, and sleep medicine value QI education but face substantial challenges to integrating it into fellowship training.
1 Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Jeremy M
JM
Kahn
Laura C
LC
Feemster
Carolyn M
CM
Fruci
Robert C
RC
Hyzy
Adrienne P
AP
Savant
Jonathan M
JM
Siner
Curtis H
CH
Weiss
Bela
B
Patel
D001291:Attitude of Health Personnel; D003422:Critical Care; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods*; D005180:Faculty, Medical; D006801:Humans; D015272:Pulmonary Medicine / Q000193:education*; D058996:Quality Improvement; D056508:Sleep Medicine Specialty / Q000193:education*; D011795:Surveys and Questionnaires
education; quality assurance; quality improvement