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Engaging GME Learners in Health System-Aligned Improvement Work in the Clinical Learning Environment.

Glenn Rosenbluth1,2, Lei W Choi3,4, Christy K Boscardin3,5,6

  • 1Department of Pediatrics, University of California, San Francisco, CA.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|December 21, 2023
PubMed
Summary
This summary is machine-generated.

The Residents and Fellows Leading Interprofessional Continuous Improvement Teams program successfully engaged thousands of trainees in health system improvement projects. This initiative fostered a symbiotic relationship, benefiting both trainees and the health system.

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Quality Improvement

Background:

  • Alignment between graduate medical education (GME) and health system priorities is crucial for trainee engagement in clinical learning environment improvement.
  • Barriers to trainee participation in health system improvement work necessitate structured programs.

Purpose of the Study:

  • To describe the structure and impact of the Residents and Fellows Leading Interprofessional Continuous Improvement Teams program at UCSF.
  • To evaluate the effectiveness of a GME-health system partnership in fostering trainee-led improvement projects.

Main Methods:

  • Trainee project champions attended workshops on improvement methodologies and developed project proposals.
  • Projects were supported by faculty mentors and approved by GME and health system leaders.
  • Trainee teams shared progress via visual management and leader rounds, with modest financial incentives for successful projects.

Main Results:

  • Over 300 projects implemented by thousands of trainees from 58 programs.
  • Approximately 75% of improvement goals were met.
  • All projects meaningfully engaged trainees, with many continuing post-graduation.

Conclusions:

  • The program fostered a symbiotic relationship, providing trainees with education and support while benefiting the health system.
  • This GME-health system partnership demonstrates sustained growth and potential for broader implementation.