1. Northwestern Family Medicine Residency & Erie Family Health Center
Making Scholarly Activities Meaningful: Using Quality Improvement Projects and Team-based care to Engage Residents in Research
Santina Wheat MD, MPH, Anuj Shah MD, MPH, &
Mary R. Talen PhD
Northwestern Family Medicine Residency & Erie Family Health Center

2. Disclosures
The presenters have nothing to disclose

3. Objectives
Describe the goals and objectives of the Scholarly Activity Rotation, QI and team-based care curriculum
Describe the learning activities from chart reviews, faculty feedback, review of population-data, and team-based, community-focused interventions.
Identify opportunities and barriers for Scholarly Activities, QI-Team-based care curriculum in healthcare settings

4. ACGME Requirements
The faculty must establish and maintain an environment of inquiry and scholarship with an active research component.
Some members of the faculty should also demonstrate scholarship
Faculty should encourage and support residents in scholarly activities.
peer-reviewed funding; (Detail) publication of original research or review articles in
peer reviewed journals, or chapters in textbooks; (Detail)
publication or presentation of case reports or clinical series at local, regional, or national professional and scientific society meetings; or, (Detail)
participation in national committees or educational organizations. (De

5. ACGME Requirements cont
Residents are expected to develop skills and habits to be able to meet the following goals:
systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement

6. ACGME Requirements Cont
There must be a structured curriculum in which residents address population health, including the evaluation of health problems of the community.

7. ACGME Requirements Cont
Residents’ Scholarly Activities
The curriculum must advance residents’ knowledge of the basic principles of research, including how research is conducted, evaluated, explained to patients, and applied to patient care.
Residents should participate in scholarly activity.
Residents should complete two scholarly activities, at least one of which should be a quality improvement project.
The sponsoring institution and program should allocate adequate educational resources to facilitate resident involvement in scholarly activities.

8. So how can we accomplish this?
 Hate this
Most of our residents don’t want to do research, they want to be doctors
Much rather do this 

9. Choose an Individual or Team Project
Our Solution
Foundation
IHI Modules
FPIN Modules
CITI Training
Team Based QI
AAFP Metric
ABFM Part IV
Organizational QI Session
Choose an Individual or Team Project
FPIN submission
Group Scholarship Project
Individual Project

10. PGY 1 PGY 2 PGY 3 Curriculum Overview Participate in Metric
Introduction to Requirements
PGY 1
Dedicated Research Month, complete foundation learning
Participate in quarterly research sessions
Organizational QI Session
Choose and start 2nd project
BH month – Depression metric with focus on population management
PGY 2
Refine and complete 2nd project
Present at research day and outside forum
PGY 3

11. Foundational Activities
Citi Training – Social Sciences
Institute for Healthcare Training Modules
Patient Safety
Quality Improvement
FPIN Modules
Literature Review (Global and Focused)
Strength of Evidence
Overview of Statistics
More if want to do Help Desk Answer
Describe each activity

12. Team Based QI Project Faculty select Metric Topic
Organization QI pulls patient lists
Residents and Team Faculty Member review patient level data
Residents look at how they are doing
Faculty link to milestones
Residents decide on PDSA for clinic

13. Team Based QI Project Implement improvement process
Organization QI pulls patient lists
Residents and Team Faculty Member review patient level data
Residents look at how they are doing
Faculty link to milestones
Debrief

14. Team Based QI Project Satisfies requirement for QI project
Complete ABFM Part IV requirement
Experience utilizing team based model
Faculty can also complete Part IV requirement

15. Individual or Team Project
Option of FPIN article
Individual or team designed QI projects (IRB exempt)
Individual or team designed scholarly project
describe

16. Organizational Support for Projects
Translational Team-based Projects
Community Health Centers
Collaboration with Alliance: EMR system
Academic Opportunities
NW’s Institute for Public Health and Medicine
PBRN

17. Outcomes Translational Team-based Projects CHC Academic Partnerships
HTN QI Metric and Patient Education Videos
Asthma Metric and ACT forms and Asthma Fair
CHC
RAAPS Pilot Project: CHC and CDC funded pilot
Academic Partnerships
Aligning Chicago Public School Health data with Hospital and Healthcare Network Data (Capricorn)

18. Outcomes Completed 3 Metrics over past year with 22 residents
Training for Residents and Faculty in FPIN model
2 publications
4 in progress
Numerous presentations at Local, National and International Conferences

19. Barriers & Lessons Learned
Time, time, time!
Multiple review boards
Resident engagement in QI project (don’t understand importance till last minute)
Initially only 1 faculty author for FPIN
QI team turned over
Managing resident expectations

20. Barriers & Lessons Learned
Time, time, time!
Multiple review boards
Resident engagement in QI project (don’t understand importance till last minute)
Initially only 1 faculty author for FPIN
QI team turned over
Managing resident expectations
Research month with weekly meetings and clear expectations
Faculty member joining clinic review committee
Completing 2x yearly to make part of culture
Made faculty development theme scholarship for academic year and did FPIN workshop
Need to be thoughtful about what and how we are asking for things
Clearly set expectations of what can be accomplished in years at beginning month R

21. Next steps Faculty to complete FPIN HDA
Regular meetings with QI for assistance
Move some of the foundational activities to PGY 1 orientation
Align metric topics with clinic Enterprise goals to involve all clinic staff
Applied for grant to allow more clinic-wide work on panel management
Plan to encourage all to do FPIN HDA so everyone can pu

22. How can you use this?

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