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Jump-Starting Faculty Development in Quality Improvement and Patient Safety Education: A Team-Based Approach

van Schaik, Sandrijn M. MD, PhD; Chang, Anna MD; Fogh, Shannon MD; Haehn, Melissa MD; Lyndon, Audrey RN, PhD; O’Brien, Bridget PhD; O’Sullivan, Patricia EdD; Ranji, Sumant MD; Rosenbluth, Glenn MD; Sehgal, Niraj MD; Tabas, Jeffrey MD; Baron, Robert B. MD, MS

doi: 10.1097/ACM.0000000000002784
Innovation Reports
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Problem Quality improvement (QI) and patient safety (PS) are cornerstones of health care delivery. Accreditation organizations increasingly require that learners engage in QIPS. For many faculty, these are new domains. Additional faculty development is needed for them to teach and mentor trainees. Existing programs, such as the Association of American Medical Colleges Teaching for Quality (Te4Q) program, target individual faculty and thus accommodate only limited participants at a time, which is problematic for institutions that need to train many faculty to support their learners.

Approach The authors invited diverse stakeholders from across the University of California, San Francisco (UCSF) School of Medicine and related health systems to participate in a team-based adaptation of the Te4Q program. The teams completed 5 projects based on previously identified priority areas to increase local capacity for QIPS teaching: (1) online modules for faculty new to QIPS, (2) a tool kit for graduate medical education programs, (3) a module for medical school clerkship directors, (4) guidelines for faculty to integrate early learners into QI projects, and (5) a “Teach-for-UCSF” certificate program in teaching QIPS.

Outcomes Thirty-five faculty members participated in the initial Te4Q workshop in January 2015, and by fall 2016, all projects were implemented. These projects led to additional faculty development initiatives and a rapidly expanding number of faculty across campus with expertise in teaching QIPS.

Next Steps Further collaborations between faculty focused on QIPS in care delivery and those focused on QIPS education to promote QIPS teaching have resulted from these initial projects.

S.M. van Schaik is professor of pediatrics and director of faculty development, Bridges Curriculum, University of California, San Francisco School of Medicine, San Francisco, California.

A. Chang is professor of medicine and director, Clinical Microsystems Clerkships, University of California, San Francisco School of Medicine, San Francisco, California.

S. Fogh is associate professor of radiation oncology and site director, Clinical Microsystems Clerkships, University of California, San Francisco School of Medicine, San Francisco, California.

M. Haehn is assistant professor of anesthesiology and associate quality director, Department of Anesthesiology, University of California, San Francisco School of Medicine, San Francisco, California.

A. Lyndon is associate professor of nursing and chair, Family Health Care Nursing, University of California, San Francisco, San Francisco, California.

B. O’Brien is associate professor of medicine, University of California, San Francisco School of Medicine, and director, Fellowship in Health Professions Education Evaluation and Research, San Francisco Veterans Affairs Medical Center, San Francisco, California.

P. O’Sullivan is professor, Department of Medicine, and director, Research and Development in Medical Education, Center for Faculty Educators, University of California, San Francisco School of Medicine, San Francisco, California.

S. Ranji is professor of medicine, University of California, San Francisco School of Medicine, and chief, Division of Hospital Medicine, Zuckerberg San Francisco General Hospital, San Francisco, California.

G. Rosenbluth is professor of pediatrics and director, Quality and Safety Programs, Office of Graduate Medical Education, University of California, San Francisco School of Medicine, San Francisco, California.

N. Sehgal is professor of medicine, University of California, San Francisco School of Medicine, and vice president and chief quality officer, UCSF Health, San Francisco, California.

J. Tabas is professor of emergency medicine and director, Outcomes and Innovations, Office of Continuing Medical Education, University of California, San Francisco School of Medicine, San Francisco, California.

R.B. Baron is professor of medicine and associate dean for graduate and continuing medical education, University of California, San Francisco School of Medicine, San Francisco, California.

Funding/Support: This project was performed with financial support from the American Medical Association, as part of the Accelerating Change in Medical Education Initiative.

Other disclosures: None reported.

Ethical approval: Reported as not applicable.

Previous presentations: Initial results of this project were presented at the 2016 World Congress on Continuous Professional Development in San Diego, California, March 17–19, 2016.

Correspondence should be addressed to Sandrijn M. van Schaik, Department of Pediatrics, University of California, San Francisco, Box 0106, 550 16th St., Floor 5, San Francisco, CA 94143; telephone: (415) 476-3731; email: sandrijn.vanschaik@ucsf.edu; Twitter: @SandrijnM.

Copyright © 2019 by the Association of American Medical Colleges