teaching for quality ( te4q ):
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Teaching for Quality ( Te4Q ): Closing the Education Gap in Quality Improvement and Patient Safety Nancy Davis, PhD Director, Practice Based Learning & Improvement AAMC. What is Te4Q?. - PowerPoint PPT PresentationTRANSCRIPT
Teaching for Quality (Te4Q): Closing the Education Gap in Quality Improvement and
Patient Safety
Nancy Davis, PhDDirector, Practice Based Learning & Improvement
AAMC
What is Te4Q?
Teaching for Quality (Te4Q) is a faculty development certificate program that trains clinical faculty how to teach quality improvement & patient safety (QI/PS)
across the medical educational continuum
Why Te4Q? The Faculty Development Dilemma
AAMC’s Teaching for Quality Report: 2013
The Goal:
“Every academic health center will have a critical mass of faculty ready, able and willing to engage in, role model, and teach about patient safety and the improvement of health care.”
Quality Improvement is core to what it means to be a physician
www.aamc.org/te4q
Te4Q Recommendation:
“Every academic health center will have a critical mass of faculty ready, able and willing to engage in, role model, and teach about patient safety and the improvement of health care”
Faculty Competencies
Proficient Expert Master
Core knowledge of QI/PS
Common language
Doing basic improvement in practice
Modeling w/learners
Prepared as good improvement team member
Participating in MOC Part IV
Proficient, plus…
Increased experience in QI/PS projects (eg, lead)
Leader in education and curricular implementation
Able to create experiential and didactic learning activities for students, residents, others
Able to understand and create metrics to assess learner progress
Expert, plus…
Curricular reform and/or clinical leadership roles related to QI/PS
Scholarship in QI/PS
Career focus in QI/PS
Te4Q
The Te4Q Faculty Development Certificate Program
Designed for ‘QI-savvy’ clinical faculty
Requirements: On-site Workshop (1.5 days) Educational QI/PS Project (individual or team) Dissemination of Projects
How Te4Q Works
Workshop CurriculumPre-Work-Competency Self-Assessment
-Educational Project Identification
-Reading Assignments
-Organization Readiness Assessment
Workshop-Adult Learning Principles
- Learning Strategies/Formats
- ‘What’ to Teach (QI/PS principles)
-Learner Assessment
-Program Evaluation
-Leading Change
Workshop Curriculum
Post Workshop
- Project critiques Presentations with feedback from faculty and peers
- Project Dissemination Presentation Publication
- Community of Learners Activities AAMC IQ Meeting—June, Chicago
Educational Project Examples
Educational Project Goal Targeted Learners
Use QI in daily practice by measuring adherence to ‘Bright Futures’ guidelines
Pediatric Residents
Use patient registry; follow a guided performance improvement activity; and evaluate performance over time
Family Medicine Residents
Integrate current QI educational objectives into a coordinated, intentional, and longitudinal curriculum where nursing and medical students work together in learning and practicing QI
Year 1 Nursing & Medical Students
Additional Program Resources
Coaching/mentoring
eWorkbook
Website (resources, materials)
Community of Learners
Creating an Educational Activity for QI/PS
1. GOAL/AIM: What is the gap or problem you want to address? What are the Quality Improvement/Patient Safety competencies you want the learners to exemplify?
Think SMART: specific, measurable, actionable, relevant and time bound
2. OBJECTIVES: What are the learning objectives? Use the term ‘performance expectation’ to guide you here. What do you want learners to do after the activity?
3. LEARNERS: Who are your learners? What is their stage of learning, whether physician or other health professional individuals or teams? Are they novices or more advanced? What are their educational needs?
Creating an Educational Activity for QI/PS
4. EDUCATIONAL DESIGN: What learning methods/formats will you use? Develop 2-3 bullet points to outline your educational idea, project or innovation and what QI/PS content you want to include.
5. LEARNER ASSESSMENT: How will you assess your learners? What methods will you use to assess what your learners have accomplished?
Creating an Educational Activity for QI/PS
6. PROGRAM EVALUATION: How will you evaluate your initiative? How will you know its impact and how it might be improved?
7. IMPLEMENTATION: How will you implement? Who will be your partners? What resources will you need? From whom will you need ‘buy-in”?
Other considerations…..
Timeframe: Estimated Implementation Date:
Confidence Level: How confident are you that you will be able to complete your project?
Very Moderately Unlikely
What barriers to you anticipate?
Additional Activity(ies): What educational QI activities aside from this project will you implement?