Practice Based Learning - Quality Improvement

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Practice Based Learning - Quality Improvement

UPDATE: Root Cause Analysis \| Deming Cycle-PDSA \| Announcements \| PBLI-Curriculum \| Inst. of Medicine \| Needle Stick \| Mass Patient Safety \| ABIM-recert \| Error Reduction \| PBLI-Begins At Home \| ICU low BS \| Oops-Res Ipsa \| EOL as QI--PDSA \| Neat Handwriting \| Quality-Adobe-PDF1 \| Research-PIM \| Error Reduction-PDF3 \| Photos/Docs7 \| EBM2(see Amb) \| Handwriting Errors \| Quality at SBH \| QI starts at home \| AHRQ/Error Reduction \| SBH -QA/QI-HEDIS \| Calendar \| FAQ \| NYT-DoNoHarm \| JCAHO prep 2004 \| Chaissin-Errors \| Rocket Science \| Berwick Conversation \| Children's Hospital \| NYT-CQI-denominator \| NYT-claimant's view \| NEJM-Duke Error \| Occupational HIV \| Deming-PDSA&God \| Too much steroid \| Error help -patients \| ACP-outpt med errors \| Links \| Quality Links2 \| Quality Links3 \| ABIM-PIM-SEP-MOC \| Resident Errors \| JCAHO-NYT 2004 \| DanaFarber-JustCult \| UpdateIndex \| Help

VIEW: Home \| Root Cause Analysis \| Deming Cycle-PDSA \| Announcements \| PBLI-Curriculum \| Inst. of Medicine \| Needle Stick \| Mass Patient Safety \| ABIM-recert \| Error Reduction \| PBLI-Begins At Home \| ICU low BS \| Oops-Res Ipsa \| EOL as QI--PDSA \| Neat Handwriting \| Quality-Adobe-PDF1 \| Research-PIM \| Error Reduction-PDF3 \| Photos/Docs7 \| EBM2(see Amb) \| Handwriting Errors \| Quality at SBH \| QI starts at home \| AHRQ/Error Reduction \| SBH -QA/QI-HEDIS \| Calendar \| FAQ \| NYT-DoNoHarm \| JCAHO prep 2004 \| Chaissin-Errors \| Rocket Science \| Berwick Conversation \| Children's Hospital \| NYT-CQI-denominator \| NYT-claimant's view \| NEJM-Duke Error \| Occupational HIV \| Deming-PDSA&God \| Too much steroid \| Error help -patients \| ACP-outpt med errors \| Links \| Quality Links2 \| Quality Links3 \| ABIM-PIM-SEP-MOC \| Resident Errors \| JCAHO-NYT 2004 \| DanaFarber-JustCult

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Please note: You may continue to use this page type if you desire. <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Curriculum for outcomes-based </SPAN><STRONG><SPAN style="FONT-SIZE: 13.5pt; FONT-FAMILY: 'Courier New'"><A href="http://www.users.cloud9.net/~jgh841/OLCon9/welcome.htm">Practice-based Learning and Improvement</A></SPAN></STRONG></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">(one of the ACGME six general competencies):</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> (updated 2/1/04 by James Hellerman, MD)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> <STRONG><SPAN style="FONT-FAMILY: 'Courier New'">Outline</SPAN></STRONG></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> I. Nuts and Bolts (or Introduction)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> II. Measurable Goals & Objectives ("Outcomes")</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> III. Teaching Methods ("How you will learn")</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> IV. Outcome Assessment and Feedback</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">I. <STRONG><SPAN style="FONT-FAMILY: 'Courier New'">Nuts and Bolts (or Introduction)</SPAN></STRONG></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> The ABIM states that “Residents are expected to be able to use </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> scientific evidence and methods to investigate, evaluate, and </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> improve patient care. </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Identify areas for improvement and implement strategies to</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> enhance knowledge, skills, attitudes and processes of care.</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Analyze and evaluate practice experiences and improvement</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> strategies to continually improve the quality of patient care.</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Develop and maintain a willingness to learn from and use errors</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> to improve the systems or processes of care.</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Use information technology to access and manage information,</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> support patient care decisions, and enhance both patient and</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> physician education.” </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Understanding the quality improvement, patient safety, error</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> reduction goals of JCAHO as well as the practice-improvement</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> aspects of EBM are important components of this competency.</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> A. Key Faculty </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> EBM Overview: Debra Bonelli</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Drs. Kulshrestha, Patel, Dharapak</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Quality Assurance: Debra Kramer</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> JCAHO: Dr. Barmecha</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Chart Reviews: All faculty</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> B. Practice-based learning and Improvement will be taught</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> By floor teaching attendings, clinic preceptors, and at</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Orientation. Residents will also have prescribed</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> independent study activities.</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"> </P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"> </P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> II. <STRONG><SPAN style="FONT-FAMILY: 'Courier New'">Measurable Goals and Objectives for Practice-based Learning and</SPAN></STRONG></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><STRONG><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Improvement</SPAN></STRONG></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> A. Outcomes required to document competency</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> The fundamental goals of this curriculum are for residents</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> to: </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] demonstrate a desire for formative feedback</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] participate in QI activities of the Hospital, such as</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> M&M conferences, journal clubs, CPCs, etc</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] demonstrate strategies to reduce medical risks, reduce</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> errors, and the ability to learn from mistakes</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] write accurate, legible, appropriate prescriptions</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] review autopsy findings to understand illness</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] respect patient rights</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] maintain a secure patient log</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] analyze own patient population and perform </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> practice-based quality improvement activities</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] utilize information technology to support efficient </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> evidence-based medical care and consultations</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] use new patient-care medical problems as an opportunity </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> to learn (rather than just calling a consult)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [ ] know when to apply expert consensus and/or </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> evidence-based population guidelines to a specific </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> patient, and when it is preferable to rely on clinical</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> “pearls” and/or “mindful practice.” </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> The paragraphs below describe the knowledge, </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> skills, attitudes, and habits that residents will</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> demonstrate to indicate competency at each level of</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> training. Such competency progresses from "knowing" to</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> "knowing how" to “can teach”.</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> B. Demonstrate the following:</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Knowledge/Skills</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY-1</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Recognize situations where the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/Quality/HTMLPage13.stm">individual</A>(s), not the</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> system, is responsible for errors </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know what <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/Quality/sotp.jpg">SOTP</A> and <A href="http://www.teacherweb.com/NY/StBarnabas/Quality/schoolwriting.jpg">SHCOOL</A> have to do with Quality</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - See how hospitalization may be experienced from</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo1.stm">patient’s view (Annals of Int Med 2002</A>)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Mistakes occur at <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/HTMLPage4.stm">Duke</A>, </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> at <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/HTMLPage15.stm">Children’s Hospital</A> in </SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">Boston</SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'">, and</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.baltimoresun.com/news/health/bal-te.sorrel15dec15,0,6037431.story?coll=bal-health-headlines">Johns Hopkins</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/1north/wqr7.stm">JCAHO</A> goals of quality, safety, and rights for</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> patients and current JCAHO QI initiatives</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know how <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo3.stm">illegible prescriptions (AMA News</A>) contribute</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> to error</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know how failure to wash hands/follow infection </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> control protocol can lead to serious infections</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> (<A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo3.stm">Readers Digest</A>)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Recognize the risk that medical errors will occur from</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo3.stm">discontinuity of care</A> that occurs on transitioning</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> from inpatient to outpatient care</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> (JGIM-2003, Carlton Moore)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Review what <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/page1.htm">residents</A> had to say about issues that </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> increase the risk of errors (including poor</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> sign out) (NEJM) as well as <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo7.stm">Dr. Berwick’s</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> editorial (Cries for Help) </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/HTMLPage9.stm">strategies to reduce errors</A>, especially when it</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> comes to <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/hf1.stm">prescriptions</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Mayo Clinic 2003: <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo3.stm">Transfusion errors</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Medication errors (<A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/hf3.stm">in the ICU</A>)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Break out from the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/HTMLPage1.stm">Culture of Silence</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know how to use technology to perform computerized</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> search using OVID, PubMed, Google. </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY-2 will also </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Be familiar with current <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/h0.stm">CMS Quality initiatives</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know what is the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/wqr2.stm">AHRQ</A>?</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> And why is <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://webmm.ahrq.gov/">AHRQ important</A>?</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - What is <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.ihi.org/">IHI</A>?</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> And <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/HTMLPage14.stm">who</A> is <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.hsph.harvard.edu/faculty/DonaldBerwick.html">Dr. Donald Berwick</A>?</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Be familiar with Dr. Berwick’s efforts to improve</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/hf5.stm">quality at the end of life</A> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - And <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.memag.com/be_core/MVC?mag=m&action=viewArticle&y=2003&m=08&d=08&article=leape.html&path=/be_core/content/journals/m/data/2003/0808&template=past_issues_show_article.jsp&navtype=m&title=The+godfather+of+patient+safety+sees+progress">Dr. Leape</A>?</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Know who is the IOM, and do they forgive if we <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://books.nap.edu/html/to_err_is_human/exec_summ.html">err</A>?</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - What are the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.ama-assn.org/amednews/2001/03/19/prl10319.htm">10 points</A> to improve patient care listed</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> in <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.nap.edu/books/0309072808/html/">Crossing the Quality Chasm</A>, published by the IOM</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Be familiar with 20 areas for quality improvement</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> focused on by the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/h2.stm">IOM</A> Bridge to Quality <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://books.nap.edu/books/0309087236/html/index.html">now</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY-3 will also be familiar with the following:</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - The physician’s role in <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo7.stm">chasing quality</A> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - How we implement <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/Bar-PBLI-1.pdf">PBLI at SBH</A> (Dr. Barmecha)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Who was <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/h7.stm">Dr. Deming</A>? (Dr. PDCA/PDSA)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - Using <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.betterdiabetescare.org/HOWpdsa.htm">PDSA to improve diabetes care</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - PDSA in the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://curriculum.risd41.org/documents/koalaty/story_boards/PDSA_story_boards.htm">classroom</A> or by the <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.southwestyorkshire.nhs.uk/Collaborative/PDSACycle.htm">NHS</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - PDSA used by a <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.aafp.org/fpm/990300fm/23.html">family practice</A> office</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - PDSA used by family practice, <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.aafp.org/fpm/990400fm/25.html">step 2</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - PDSA used by family practice, <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.aafp.org/fpm/990500fm/29.html">step 3</A> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - PDSA used by family practice <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.aafp.org/x16578.xml">curriculum</A></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.acponline.org/journals/news/dec03/ncqa.htm">NCQA</A> for physician QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - What is a <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/h6.stm">sentinel event</A>? What is root cause</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> analysis?</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> - <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/quality/photo2.stm">Resident Research</A> as QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> III. <STRONG><SPAN style="FONT-FAMILY: 'Courier New'">Teaching Methods and How You Will Learn</SPAN></STRONG></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Residents will acquire the above knowledge, skills,</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> attitudes and habits by utilizing the following:</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Videos/DVDs:</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.thci.org/">Tufts Health Care Institute</A> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Reading: Online references above plus:</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Epstein RM. Mindful practice. JAMA. 1999; 282:833</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> <A style="COLOR: blue; TEXT-DECORATION: underline; text-underline: single" href="http://www.teacherweb.com/NY/StBarnabas/Quality/AcMed-2002-Call-Fein.pdf">Callahan M, Fein O, Battleman</A> D. A practice-</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Profiling system for residents. Acad Med. 2002; </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> 77:34-9 </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> <A href="http://www.acponline.org/catalog/books/making_medical.htm">Making Medical Decisions </A>- Richard A. Gross </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Conferences:</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Dr. Barmecha on PBLI, PDSA, RCA, sentinel event</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> IOM, IHI, NCQA, AHRQ, JCAHO</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Debra Kramer on QA/QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Pharmacy: error reduction</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Dr. Schwartz: systems to avoid transfusion errors</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Deborah Bonelli: Boolian searches on OVID and PubMed </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Experiences: </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Clinic, Hospital observation of Faculty</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY-1 participate in OSCE with “standardized</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> resident”</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY-2 function as “standardized residents”</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY-3 and CMRs record and review </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> [see also other Curricula: Adolescent,</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Cultural</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Geriatric]</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Vignettes: planned for future</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> IV. <STRONG><SPAN style="FONT-FAMILY: 'Courier New'">Outcome Assessment and Feedback</SPAN></STRONG></SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Competency at each level of training in this</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> discipline will be documented by the resident by</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> means of the following:</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Knowledge: PGY-1 Quiz or paper on QA/QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Documentation of literature search </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Skills</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Utilize PDA for QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Portfolio (CTC)</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> ABIM Global Rating</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY-2 Quiz or paper on QA/QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Utilize PDA for QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Portfolio</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> ABIM Global Rating</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> PGY- 3 Quiz or paper on QA/QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Utilize PDA for QI</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Complete research project </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> Portfolio</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> "In theory there is no difference between theory and practice - in practice,</SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> there is." ---Yogi Berra </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'Courier New'"> </SPAN></P> <P class=MsoPlainText style="MARGIN: 0in 0in 0pt"><SPAN style="FONT-SIZE: 10pt; 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