In academic internal medicine departments, clinical educators are responsible for both patient care and the training of residents. As such, they are well-positioned to implement health care improvements and the associated changes to medical education.
The teams of the 41 Academic Chronic Care Collaboratives offer five lessons about implementing health care improvements in academic settings:
- Redesign the clinical practice before making residency curricular changes.
- Exploit all practice staff—faculty, residents, nurses and managers—to incorporate continuous improvement change.
- Recognize everyone is a learner, including faculty members.
- Take advantage of Internet resources and national collaboratives to develop high levels of improvement expertise.
- Employ rigorous methodology to implement and evaluate interventions for practice redesign.
As patient care settings and resident education are redesigned, new clinician educator leaders are emerging. Three potentially thorny issues related to these changes have promising news: 1) achieving professional satisfaction from collaborative successes despite increased workloads; 2) encouraging academic promotion by consistent criteria on par with other faculty; and 3) increasing opportunities for scholarly publication of original health care work or innovative residency curricula.
Integrating continuous health care improvement into residency training reaps benefits for many—health systems, faculty, residents, patients and society.
- 1. A Multi-Institutional Quality Improvement Initiative to Transform Education for Chronic Illness Care in Resident Continuity Practices
- 2. Joy and Challenges in Improving Chronic Illness Care
- 3. Developing Measures of Educational Change for Academic Health Care Teams Implementing the Chronic Care Model in Teaching Practices
- 4. Assessing Chronic Illness Care Education (ACIC-E)
- 5. Using the Teamlet Model to Improve Chronic Care in an Academic Primary Care Practice
- 6. Implementation of a Chronic Illness Model for Diabetes Care in a Family Medicine Residency Program
- 7. Linking a Motivational Interviewing Curriculum to the Chronic Care Model
- 8. Incorporating Performance Improvement Methods Into a Needs Assessment
- 9. Academia, Chronic Care, and the Future of Primary Care
- 10. The Role for Clinician Educators in Implementing Healthcare Improvement