Quality Session


BUILDING QUALITY improvement (QI) into the healthcare process starts with education, but to date, standardized QI curriculums have not taken root across academic medical centers.

A quartet of academic hospitalists pushed the concept during an HM10 session titled “Quality Improvement Curriculum: How to Get Started and to Keep Going.” All four speakers agreed that QI “empowers providers to create change.”

Alexander Carbo, MD, FHM, (at podium) and Christpher Kim, MD, FHM, present “An Introduction to Quality Improvement Methods.”

Alexander Carbo, MD, FHM, (at podium) and Christpher Kim, MD, FHM, present “An Introduction to Quality Improvement Methods.”

The presentation was based on a 1998 book from first author David Kern, MD, MPH, FACP, professor at the Johns Hopkins University School of Medicine in Baltimore: “Curriculum Development for Medical Education: A Six-Step Process.” Some of the take-home points included:

  • Problem identification and a general-needs assessment, followed by a targeted needs assessment. Combined, the two steps create a construct for an issue, such as “residents lack knowledge skills in QI,” and then hone in with such queries as “What is the baseline knowledge?”
  • Goals and objectives. There is a difference between the two. Goals are broad-based with little specificity; objectives are measurable items that gauge progress.
  • Educational strategies. Cognitive objectives can be taught via lectures or team-based projects; however, skill-based objectives traditionally are better taught via hands-on experience.
  • Implementation, evaluation, and feedback. Many programs try to move too quickly and put something in place before fully planning out the curriculum.
QI empowers providers to create change.

“Take a step back,” said Arpana Vidyarthi, MD, assistant professor and director of quality University of California at San Francisco. “What you do in implementing your curriculum ought to be connected to what your goals and objectives are.” HM10

More from the HM10 Special Report

National Imperative

Hospitalists challenged to keep making healthcare better

ONLINE EXCLUSIVE: Audio interview with SHM President Jeff Wiese

SHM's new president talks about his vision for the next generation of hospitalists

Quality Control

As specialty matures, annual meeting flourishes with practical, educational, and social takeaways

Wachter’s World

HM pioneer says healthcare reform offers HM the chance to define cost savings, QI for future generations

Professional Advice

First-class faculty make HM10 pre-courses highly educational, practical

ONLINE EXCLUSIVE: Audio interview with ABIM Learning Session Director Julius Yang

Dr. Yang discusses the HM10 pre-course that prepares hospitalists for ABIM recertification.

Jam-Packed & Well Worth It

A day in the life of one hospitalist’s annual meeting

ONLINE EXCLUSIVE: Audio interview with Nasim Afsarmanesh

Dr. Afsarmanesh discusses the events of her dawn-to-dusk Day 2 at HM10 in National Harbor, Md.

Core Competencies Lay Pediatric HM Foundation

Framework in place, PHM’s future is in the hands of hospitalists

Special Interests

From IT to education to community issues, hospitalists want to be part of the healthcare solution


Practice Management Session

“The Case for Unit-Based Hospitalists: Benefits and Challenges”

Practice Management Session

“Hospitalist NPPs 301—Advanced Concepts”

Practice Management Session

"The Patient Experience: What Hospitalists Need to Know About Measuring, Reporting, and Benchmarking"

Clinical Session

"Controversies in Anticoagulation and Thrombosis"

Clinical Session

"The New C. Diff"

Quality Session

"The Value Proposition to C-Suites: Aligning Hospital Resources to Support Hospitalist QI"

You may also


in pdf format (2.3 MB).

Next Article:

   Comments ()