Fellows/Residents Quality Improvement Projects
Updated January 19, 2021
Accreditation Council for Graduate Medical Education (ACGME) Scholarship requirement:
Medicine is both an art and a science. The physician is a humanistic scientist who cares for patients. This requires the ability to think critically, evaluate the literature, appropriately assimilate new knowledge, and practice lifelong learning. The program and faculty must create an environment that fosters the acquisition of such skills through fellow participation in scholarly activities as defined in the subspecialty-specific Program Requirements. Scholarly activities may include discovery, integration, application, and teaching.
The ACGME recognizes the diversity of fellowships and anticipates that programs prepare physicians for a variety of roles, including clinicians, scientists, and educators.
It is expected that the program’s scholarship will reflect its mission(s) and aims, and the needs of the community it serves. For example, some programs may concentrate their scholarly activity on quality improvement, population health, and/or teaching, while other programs might choose to utilize more classic forms of biomedical research as the focus for scholarship.
| QI Title | Progress | Fellow(s) | Resident(s) | PI | Comments |
|---|---|---|---|---|---|
| Acute pancreatitis power plan | IRB obtained; Power plan implementation | Rios | Busch | Parajuli, Omer | Power plan needs to be used. Educating IM and ER resident. IM chief can help. |
| IBD VTE | IRB approved | Khan | Heckroth, Eiswerth, Bosch, Dadlani | Dryden/Wuerth | Pending implementation |
| IBD immunization | IRB approved | Nguyen, McGrath | Elmasry | Dryden/Wuerth | DP to send info to Wuerth / Vincent / McGrath. |
| Iron infusion in GIB | IRB approved | Closson | Flaherty | Parajuli, Krueger, Wuerth, Edds | Added Flaherty. Wuerth can help with IT. Edds will take the lead. |
| Pancreatic insufficiency | Implemented | Daniel | Sani, Eiswerth, Dadlani | Omer | Post implementation data |
| Colon prep app | Elmasry | Wuerth | OFF for now | ||
| HCV screening in AIM clinic | Completed | Shine | Eiswerth, Bosch | Accepted at ACG. Can be expanded to HCV clinic (funding). Needs more residents and fellows. | |
| PVT management protocol | Protocol completed | Condon, Rios, Eisa | Dadlani, Gerlach | Parajuli, Jophlin | PVT Protocol |
| Colon polyps best practice, recurrence and complications | Pending IRB submission | Closson, Eisa | Dadlani, Gerlach | Parajuli, Omer | |
| Ergonomic intervention for GI fellows/attendings (Survey) | Shine, Eisa | Parajuli, Omer | Survey to endoscopists including fellows and see what % are reporting endoscopy related injuries. Then work with PM&R at our hospital to see if they can suggest some exercises/ interventions. Survey via KSGE, KBML, graduate sites (different states), explore red cap. | ||
| Incidentally Diagnosed Hepatocellular Carcinoma: Root Cause Analysis And Characteristics | Completed | Eisa, Safadi | Gala | Presented at ACG | |
| Curriculum improvement | Parajuli |
Proposals:
- HCC and Variceal screening compliance
- BS
- Improving reports of endoscopic procedures at ULH to improve billing (Krueger, Wuerth)