BIDMC Medicine Residency Program at the Leading Edge of Education in Internal Medicine
Education Innovations Project (EIP):
BIDMC's unique program in medical resident training - featuring an integrated, intensive focus on patient safety and health care quality - merited its selection as one of an initial group of 17 internal medicine residency programs nationwide to be enrolled in the Education Innovations Project, sponsored by the ACGME/Residency Review Committee in Internal Medicine. In addition to our mission of training graduating residents to be outstanding clinicians, exemplary educators, and premier researchers, we have created an innovative educational infrastructure to ensure that our residents attain the requisite knowledge, skills, attitudes, and hands-on experience to serve as expert health system leaders wherever their future practice may take them. The program features:
- A principal rotation (mentored by dedicated Patient Safety Core Faculty) in which residents learn the fundamental concepts of health care quality and patient safety, participate in peer review of adverse events, and take leadership in the design and implementation of performance improvement initiatives;
- A medical service divided into clinical microsystems of geographically-based multidisciplinary teams, for which local process and outcome data provide feedback for ongoing improvement; and
- An overall institutional commitment to the highest levels of quality, safety, and transparency through universal participation of all staff (including residents) in continuous performance improvement.
Training in patient safety and quality will be absolutely essential to any future career as a leader in medicine. We offer simply the best training in these areas that is available in the US.
Practice Improvement Modules and the ABIM:
BIDMC was one of the first programs in the country to use the American Board of Internal Medicine's Practice Improvement Modules(PIMs) in preventive cardiology as a tool to teach the competencies of systems-based practice and practice-based learning. Dr Eileen Reynolds led this effort in 2004. BIDMC was again selected in 2006 as a site to study the ABIM's module for Care of the Vulnerable Elderly: Dr. Carol Bates led this effort.
Achieving Competence Today (ACT):
BIDMC was one of 18 programs selected for this 2002-2004 program sponsored by Partnerships in Quality Education, an arm of the Robert Wood Johnson Foundation. Drs Anjala Tess, Leonor Fernandez, and Carol Bates worked with residents who did intense training in systems-based practice and practice-based learning and then taught their colleagues in resident-led sessions. Dr Ken Sands served as principle investigator for our role in ACT III, a 2005-2006 initiative.
The hospital and medical school were awarded a grant for geriatrics education in 2006. This extensive grant, enhanced our outstanding geriatrics education systems.