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: Success at the Right Speed: Learning from Toyota
WIHI: The Meaningful Methodology of Patient- and Family-Centered Care
WIHI: Momentum for Maternity of the Safest Kind
WIHI: The Next Wave of Reform for Medical Education
WIHI: The Health Care Tune-Up Show! Leading with Logic and Emotion
WIHI: Message to Managers: Crises Happen. Plan Ahead!
WIHI: Tipping the Scales: Fresh Ideas to Combat Obesity
WIHI: Adverse Events and Their Aftermath: SOS from Clinicians
WIHI: Gimme Housing, Not the ED: A New Campaign for Housing the Homeless
WIHI: Patient Safety Officer: One Person’s Title, Everyone’s Responsibility
WIHI: OpenNotes and the Electronic Medical Record
WIHI: All Hospitals in Favor of Saving Money: Say “Patient Flow!”
WIHI: Getting Down to Business…and Health Care Reform
WIHI: New Ways to Reduce Diagnosis Errors
WIHI: The Future of Nursing
WIHI: Quality Care During Advanced Illness: What Do Patients Want That Works?
WIHI: Run, Don’t Walk! The Urgent Need for Patient Safety
WIHI: Reducing Avoidable Visits to the Emergency Department
WIHI: The Medical Home
WIHI: Next Waves of Health Care Reform
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