Education & Training
Background: The Accreditation Council for Graduate Medical Education (ACGME) requires all trainees in accredited medical training programs in the United States to complete a quality improvement (QI) project over the course of their training. However, many training programs have struggled to provide the right mentorship for QI projects and many trainees do not find their experiences with QI projects to be meaningful. Consultation-Liaison (C-L) psychiatry programs face additional obstacles to providing high-quality mentorship for trainee QI projects because no widely agreed-upon quality measurement strategies for consultation-liaison psychiatry exist.
Approach: Experts in quality improvement and fellowship education will present the key aspects of the ACGME requirements for completion of a trainee QI project and a template for mentoring a meaningful project. We will also introduce a National Trainee QI Project, in which trainees from multiple institutions will conduct parallel projects with the same aim under the mentorship of a centralized group of experts affiliated with the ACLP Fellowship and Education Subcommittee (FES) and the Quality and Safety Special Interest Group.
David Kroll, MD will briefly describe how greater attention to quality improvement projects can benefit the field of C-L psychiatry and explain why linking the work of a C-L psychiatry service to quality-related outcomes remains especially challenging (10 min).
Sejal Shah, MD, FACLP will describe the history of, and rationale for, the ACGME’s institution of the requirement to complete a QI project; the current requirements; the difficulty many training programs experience in meeting those requirements; and the gap between meeting the requirements and providing a meaningful experience for trainees (15 min). This presentation will include a template for teaching quality improvement within the framework of a C-L psychiatry training program, including milestones and expected obstacles.
Lisa J. Rosenthal, MD, FACLP will introduce a National Trainee QI Project, which has been designed to provide centralized mentorship to trainees from a wide range of programs (15 min). Selection of an appropriate QI measure for CL psychiatry will be reviewed.
Brady Lonergan, MD will describe his experience with the national project, including his progress as of November, 2019 (15 min). The panel will use the remaining time (35 min) to facilitate an interactive session in which workshop participants—some of whom will be national project participants—will be invited to share the challenges and success stories they are facing at home.
Conclusion and Implications:
QI projects have become an increasingly important component of graduate medical education. This session will help educators in C-L psychiatry mentor QI projects for the next generation of C-L psychiatrists.