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

2. Distinction Pathway Leadership
Resident leaders- Faculty co-leaders
Robert Fogerty, MD (YSC)
Jeremy Schwartz, MD (SRC)
Naseema B Merchant, MD (WHVA)
Faculty mentors:
Craig Gunderson, MD (WHVA)
Olukemi (Kemi) Akande, MD (YSC)
Sonali Advani, MD
Chief resident mentors
Victor Bilan, MD (WHVA)

3. Why create a QIPL 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

4. Mission Statement
This distinction pathway aims to 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

5. Components Education Engagement in QI initiatives
Leadership skill building

6. Education Requirement:
Attend at least 3 quarterly sessions of a QI and leadership development series and complete the IHI module
Goal:
Acquire knowledge and build skills through small group learning and self study
Other educational offerings:
Literature on Med Hub
Opportunities to attend QI education opportunities
QI night

7. Engagement in QI Initiatives-Hospital Committee Membership
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- Hospital Committee Membership 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- Hospital Committee Membership cont.
Sample Target Committees:
DVT/PE Committee- YNHH
Lab Formulary Committee- YNHH
Pharmacy and therapeutics 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. Engagement in QI Initiatives- 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. Engagement in QI Initiatives- 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. Engagement in QI Initiatives- Presentation of the Mentored QI Project
Expectations:
Create an oral presentation or abstract
Present at a local, regional or national meeting

13. Leadership Skill Building
Participation on committee work
Networking with physician leaders

14. What will you gain? 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
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
Mentored QI project:
First-hand experience and skill development in selecting and progressing through a QI project

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

16. Our current PGY3’s in the QIPL Distinction Pathway
Mark Connor, MD Committee- P&T (YNHH) Project- Increasing the percentage of screening colonoscopies for outpatients ( YNHH) Michael O’ Donnell, MD Project- Increasing the percentage of Yale IM residents who have a PCP (YNHH) Jacob Quinton, MD Committee- Patient Safety (WHVA) Project- Standardized mortality rates for medical inpatients (WHVA) Madden Rowel, MD Committee- DVT Project-Increasing the referrals from the primary care clinic at SRC to New Haven Farm- based wellness Project Dushyanth Srinivasan, MD Committee- Patient Safety ( WHVA) Project- Use of guideline based DVT prophylaxis on medical inpatients (WHVA)