WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Date: October 25, 2012
Featuring:
Residency training in the US has long had the reputation of a rite of passage — a period when grueling hours on busy hospital floors are spent converting four years of medical school, and some clinical exposure, into real-time accountability for real patients who have sometimes serious and life-threatening medical conditions.
However, a changing health care system now demands that residents develop the skills not just to diagnose and treat patients who are ill, but to protect them from harm and to reduce their chances of being readmitted. Residents need to know about managing chronic conditions and how to help patients lead healthier lives.
These new goals present newly-minted MDs, and those who train them, with new challenges — among them, the need to work in teams and communicate with everyone, including patients and families, more effectively; the need to sleep after long hours on the job and to honor the requirement to take the time (and time off) to do so; the need to engage in effective handoffs to other providers and to help coordinate care across multiple health care settings.
It’s a tall order for the nation’s complex system of training doctors, and aligning what happens in residency programs with the ambitions of quality improvement is at an early stage. Why is this the case? What can be done to accelerate reforms? Where are promising new models starting to emerge?
This WIHI takes up these questions and more, with three outstanding guests who are directly helping to hasten the transformation of residency training in the US.
Drs. Don Goldmann, Kedar Mate, and James Moses are working with multiple organizations, including the Accreditation Council for Graduate Medical Education (ACGME), to better identify what’s needed, including building greater capacity among faculty in residency programs to teach and model improvement skills. Dr. Goldmann has a strong understanding of the structural barriers that must be addressed to make this possible. Dr. Mate has a unique and important view on the intersection between residency training and the growing field of hospital medicine, as well as innovations emerging from primary care practices on their way to becoming patient-centered medical homes. Dr. Moses has been instrumental in shaping the offerings of the IHI Open School for Health Professions to ensure they’re relevant and accessible to today’s residents.
Read the IHI 90-Day R&D Project report related to this topic.
WIHI: Innovation and Improvement in Times of Crisis
WIHI: How to Navigate Power and Enhance Psychological Safety
WIHI: Which Way is North? Setting Your Compass for Population Health
WIHI: Workload, Stress, and Patient Safety: How Human Factors Can Help
WIHI: Special Edition Podcast: Creating a Culture of Continuous Improvement that Outlasts Your Leaders
WIHI: The Benefits of Behavioral Health in the ED
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
WIHI: Let’s Get to Work on Waste in Health Care
WIHI: NO LET UP ON SAFETY
WIHI: Black Women and and Maternal Care: Redesigning for Safety, Dignity, and Respect
WIHI: Aim High For Equity in the Health Care Workforce
WIHI: Assessing the Value of Age-Friendly Health Care
WIHI: Taking Acute Pain Seriously, Treating it Safely
WIHI: What’s an Apology Worth? The Case for Communication and Resolution
WIHI: How to Make Patient Safety Easier to Explain and to Champion
WIHI: How to Speak So Leaders Will Listen
WIHI: New Guidance for Governance of Health System Quality - What Trustees Should Know and Do
Special Edition WIHI - Women in Action: Paving the Way for Better Care
WIHI: BUILDING THE WILL AND SKILL TO BE A CLINICAL IMPROVER
WIHI: Lowering Readmissions, Reducing Disparities
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