How do I practice medicine safely?
How do I deliver the best possible care to my patients?
How do I make things better around me?
These are central questions for every physician and our residency program
firmly believes that our responsibility is not only to prepare our
residents to practice good medicine, but also to teach them how to improve
it. QI and safety training has been part of our core curriculum since 2001
(years before it was a requirement!) and our program is a leader nationally
in QI education.
We are fortunate to practice in a hospital and department where the
cultures value and nurture high quality care and the desire to do better.
It permeates practice for every discipline at BIDMC from the first day of
orientation until graduation.
We began our Stoneman elective in quality improvement and patient safety
for medicine residents in 2001 to harness that culture and impart concrete
skills they can take with them after graduation. Since that time our
curriculum has continued to evolve.
Interns are introduced to basic principles in safety and quality in the
ambulatory curriculum, and review their own inpatient practice with respect
to cost and quality. In the junior and senior years, all residents complete
the Stoneman Elective under the mentorship of our Patient Safety Core
Faculty. These residents complete an adverse event review of a live case
and participate in a group QI project. Examples of projects are listed
For those interested in advanced leadership in QI we offer the QI retreat,
a unique course in Lean process improvement where residents learn alongside
nurses and other health professions.
We know that 20% of our recent alumni have gone on to take roles in QI and
safety as part of their work. We currently have three graduates who are
Harvard Medical School Patient Safety Fellows as well.