Jumpstarting Faculty Development for Teaching Quality Improvement and Patient Safety: A Team-based Approach Anna Chang, Shannon Fogh, Patricia O’Sullivan, Sandrijn van Schaik, Melissa Haehn, Audrey Lyndon, Bridget O’Brien, Sumant Ranji, Glenn Rosenbluth, Niraj Sehgal, Jeff Tabas, and Robert B. Baron 2016 WGEA 6/11/2018 [ADD PRESENTATION TITLE: INSERT TAB > HEADER & FOOTER > NOTES AND HANDOUTS]

Background/Purpose Quality Improvement (QI) and Patient Safety (PS) have become cornerstones of healthcare delivery, but few faculty can teach the associated knowledge and skills American Association of Medical Colleges (AAMC) has a “Teaching for Quality” (Te4Q) faculty development program Aims to help institutions with development of educators in QI/PS Consists of 1.5 day workshop followed by year dedicated to mentored educational projects Space for ~ 30 faculty per workshop UCSF to provide mentorship, ensure projects get completed 6/11/2018 [ADD PRESENTATION TITLE: INSERT TAB > HEADER & FOOTER > NOTES AND HANDOUTS]

Methods: a team-based approach Discussion with key stakeholders Proposed candidates for program Identified priority areas for educational projects Basic QI/PS for faculty & staff Resources for CMC faculty Module for clerkship directors GME toolbox Teach for UCSF certificate program Educators across continuum Clinicians QI Leaders Junior/Senior Across campus Across schools Candidates chose project Project teams Regular meetings of team leaders to ensure coordination Individual teams responsible for project execution 6/11/2018 [ADD PRESENTATION TITLE: INSERT TAB > HEADER & FOOTER > NOTES AND HANDOUTS]

Model for proficiency in systems skills Our model recognizes that there is, and should be, overlap between teaching systems skills and applying such skills to patient care PATIENT CARE Clinical faculty – Clinic/Unit leaders – Unit-based leadership teams – QI/Patient Safety leadership Proficient Expert Master Teaching faculty – CMC lead faculty – Clerkship directors – GME directors – Faculty developers EDUCATION

Faculty development offerings PATIENT CARE Clinical faculty – Clinic/Unit leaders – Unit-based leadership teams – QI/Patient Safety leadership Proficient Expert Master Teaching faculty – Clerkship faculty – Clerkship directors – GME directors – Faculty developers EDUCATION Objectives Define the Model for Improvement using Plan/Do/Study/Act cycles Identify the champion for QI in their clinical microsystem Identify an activity in their clinical environment that they would like to improve and describe options for improving the performance of that activity Teach core QI/PS topics and model the associated behaviors and skills   Describe milestones/EPAs for learners within the program/clerkship Define learning gaps within residency/clerkship related to QI/PS Develop goals and objectives for quality and safety within residency/clerkship programs Develop a specialty-specific tailored curriculum in QI/PS for their trainees Collaborate with appropriate CPI champion to implement trainee-driven QI/PS projects Assess trainees’ performance in QI/PS projects and map this milestones Identify and utilize existing dashboards and safety metrics for their specialty and develop learner specific feedback Demonstrate effective strategies to engage learners across professions and the continuum in QI/PS Employ QI/PS tools as a mechanism to develop teaching strategies based on assessment of learner knowledge, skills and attitudes Facilitate learner reflection around QI/PS issues. Design experiential learning activities for learners to apply QI/PS concepts Mentor learners in participation at any phase of a quality improvement and patient safety project. Objectives Our model recognizes that there is, and should be, overlap between teaching systems skills and applying such skills to patient care Continuous Process Improvement (CPI) Modules CMC faculty resources Clerkship director module & toolkit GME Toolkit Teach for UCSF Certificate Faculty development offerings

Example Projects 6/11/2018 [ADD PRESENTATION TITLE: INSERT TAB > HEADER & FOOTER > NOTES AND HANDOUTS]

Continuous Process Improvement Training for Faculty & Staff Coordinated content between Undergraduate Medical Education, Graduate Medical Education, and UCSF Health to ensure a common set of skills and vocabulary For more information: http://cpi.ucsf.edu Will insert links when ready 6/11/2018 [ADD PRESENTATION TITLE: INSERT TAB > HEADER & FOOTER > NOTES AND HANDOUTS]

Clerkship Director Toolbox

Small group discussion Using the template, think about The stakeholders at your institution for faculty development in teaching of QI/PS Potential candidates who could carry out educational projects/jumpstart faculty development Priorities for educational projects

Group discussion template Key stakeholders at your institution _______________ Possible candidates/champions Priority areas for educational projects _______________ _______________ 6/11/2018 [ADD PRESENTATION TITLE: INSERT TAB > HEADER & FOOTER > NOTES AND HANDOUTS]

Small group discussion – part 2 To implement this at your institution: What resources do you need? What barriers do you foresee? Think about implementation AND sustainability