Podium Session

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PD58-10: Quality Improvement Education and Participation in Urology Residency Programs: Preliminary Survey Results of Program Directors

Monday, May 15
2:30 PM - 2:40 PM
Location: BCEC: Room 161

Presentation Authors: Justin Ziemba*, Brian Matlaga, Baltimore, MD, Christopher Tessier, Portland, OR

Introduction: One of the key physician competencies outlined in the Urology Milestone project is engagement in quality improvement (QI). Despite this mandate, little is known about how QI education and participation by residents is integrated into their training. Therefore, we performed a national survey of urology residency program directors (PD) in partnership with the Society of Academic Urologists (SAU).

Methods: A 37-item electronic survey was developed to assess QI education, mentorship, and participation within a urology residency program. The survey was tested by an assistant program director and revised based on the feedback received. The survey was sent via email (11/1/2016) to all PD affiliated with the SAU (n=116; 94% of ACGME programs). Included in this analysis are only the completed responses received from the initial survey invitation at 1 week (censor date 11/7/2016).

Results: A total of 22 respondents returned a completed survey for a response rate of 19% (22/116). Table 1 outlines program characteristics. All PD reported they participate in direct patient care, but 36% (8/22) also listed QI leader and educator as an additional role. Only 27% (6/22) of PD have received formal training in QI methodology, but 59% (13/22), 55% (12/22), and 32% (7/22) are directly involved in QI education, serve on a QI committee, and lead a QI team, respectively. Only 45% (10/22) of programs have a formal curriculum for teaching QI to residents with 90% (9/10) using didactic sessions focusing on Six Sigma (5/10; 50%) and root cause analysis (5/10; 50%) methodology. Table 2 lists PD attitudes towards QI education and participation for residents. The majority of PD (19/22; 86%) would like to see the American Urological Association develop a urology-oriented QI curriculum.

Conclusions: A minority of programs have QI education available for residents. However, PD agree that QI is an integral part of residency training, which should be promoted by our profession. Responses from additional PD will allow us to validate these initial trends.

Source Of Funding: None

Justin B. Ziemba, MD

Brady Urological Institute, Johns Hopkins School of Medicine

Justin B. Ziemba, MD is currently a clinical and research fellow in endourology at the James Buchanan Brady Urological Institute of the Johns Hopkins Hospital and Instructor of Urology at the Johns Hopkins School of Medicine. Clinically, he focuses on the surgical treatment and medical management of urinary stone disease. This clinical focus is supported by his research interests in the emergent care of patients with kidney stones. He is also interested in quality improvement and patient safety with a specific focus on how to educate others in the delivery of high-value care. He has served on several hospital committees aimed at improving the care provided to patients at both the Johns Hopkins Hospital and the Hospital of the University of Pennsylvania. In 2015, he was awarded the Quality and Patient Safety Innovator Award from the University of Pennsylvania Health System.

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