1. Quality Improvement and Physician Leadership
Distinction Pathway
Robert Fogerty, MD, Jeremy Schwartz, MD and Naseema B Merchant, MD

2. Distinction Pathway Leadership
Resident leaders- Faculty co-leaders
Robert Fogerty, MD
Jeremy Schwartz, MD
Naseema B Merchant, MD
Faculty mentors:
Craig Gunderson, MD (VA)
Olukemi (Kemi) Akande, MD (York Street Campus)
Chief resident mentors
Benjamin Rodwin, MD (VA Campus)

3. Authorship and Design Robert Fogerty, MD Jeremy Schwartz, MD
Naseema B Merchant, MD

4. Why make a distinction pathway?
Limited structured time for longitudinal training in QI
Scattered QI opportunities may be challenging to independently navigate
Lack of structured mentorship may increase the risk of frustration and disengagement with QI

5. Mission Statement
This distinction pathway will provide focused, hands-on training and a real-world experience in understanding the science behind systems of health care delivery through:
skill building sessions
longitudinal committee work
participation in a mentored QI project
Trainees will experience a customized opportunity to acquire the skills, confidence, and knowledge necessary to begin a journey toward national prominence in QI and Physician Leadership

6. Components Didactic lectures, workshops, and self-paced curriculum
Engagement in QI initiatives
Participation in a mentored QI project
Presentation of a longitudinal project

7. Engagement in QI Initiatives
Requirement:
Formally join a standing hospital committee with endorsement of the committee chair
Goals:
Gain exposure to committee work and inter-professional relationships in a real-world setting
Provide an opportunity to develop skills related to managing clinical work and administrative tasks
Broaden leadership style exposure via interacting with leaders at YNHH and WH VA

8. Engagement in QI Initiatives- cont.
Expectations:
Attend committee meetings and learn to balance clinical and administrative responsibilities
Follow minutes and workflow of committee
Participate fully in tasks assigned from the committee

9. Engagement in QI Initiatives- cont.
Sample Target Committees:
DVT/PE Committee- YNHH
Lab Formulary Committee- YNHH
RL Solutions Committee- YNHH
Patient Safety Committee- WHVA
Infection Control Committee- WHVA
Patient Flow Committee- WHVA
Patient Safety Champions Sub-committee- WHVA

10. Participation in a Mentored QI Project
Requirement:
Select and work on a longitudinal project
Goals:
Learn project selection, development, execution, and leadership skills
Learn effective and efficient oral presentation and communication skills
Experience the realities of a QI project, including but not limited to the frequent failures associated with real-world QI projects

11. Participation in a Mentored QI Project- cont.
Expectations:
Identify a longitudinal faculty mentor for a project
Design and execute a small project through to completion, investing ~ hours distributed over PGY 2 and PGY 3 years
Create an oral presentation or abstract

12. Participation in didactics
Requirement:
Attend at least 3 quarterly sessions of a QI and leadership development series
Goal:
Acquire knowledge and build skills through small group learning

13. What will you gain? Mentored QI project:
First-hand experience and skill development in selecting and progressing through a QI project
Committee work:
Learn to be an active and meaningful participant in a health care committee
Understand how to lead a successful, collaborative, and productive committee
Didactics:
Acquire strong skills helpful for your committee and project work
Build your repertoire in your pursuit for a leadership position in QI or systems redesign in health care

14. Tracking Activities Go to MedHub
Click Portfolio (upper right hand corner)
Next, using the drop down menu, scroll to “QI and leadership distinction”

15. Tracking Activities- cont.
Options for tracking for the QI and leadership distinction will be at the bottom
Please ensure that the checkbox allowing mentors to view your log is selected when completing an entry
QI and leadership distinction-committee
QI and leadership distinction-project submission
QI and leadership distinction-project working
QI and leadership distinction-didactics
QI and leadership distinction-leadership huddle

16. What do you need to earn distinction?
Completed longitudinal project
Committee report
Didactics requirement (3 out of 4 per year)
MedHub activity log