Physician Leadership Program-article 4

article 4
Pdf Summary
This commentary explores the barriers to resident engagement in quality improvement (QI) initiatives in psychiatry and proposes potential solutions. The authors highlight the importance of equipping resident physicians with knowledge, skills, and experience in QI and patient safety. They identify several barriers to resident engagement, including limited QI knowledge among residents and faculty, limited dedicated time for QI, and limited designation of trainee roles in QI. They propose solutions such as incorporating QI principles into professional development, allocating dedicated time for QI initiatives, and creating designated roles for residents in QI projects. <br /><br />The authors also discuss process-related barriers, such as challenges with project selection and sustainability, implementation, and metric identification and monitoring. They suggest aligning projects with organizational priorities, establishing a guiding coalition of stakeholders, and creating a culture that empowers individuals to identify needs and promote change. They emphasize the importance of data and quality metrics in QI projects and suggest using easily accessible data and infrastructure already in place for tracking and monitoring.<br /><br />To illustrate their points, the authors provide an example of a resident-led QI initiative to implement an electronic safety planning intervention in an inpatient psychiatric unit. They describe how the resident and faculty mentor collaborated with stakeholders, obtained institutional support, and utilized existing infrastructure to successfully implement the intervention.<br /><br />In conclusion, the authors highlight the value of resident engagement in QI projects and emphasize the need for institutional commitment, faculty support, and resident involvement to overcome barriers and promote successful resident-led QI initiatives in psychiatry.
Keywords
resident engagement
quality improvement
psychiatry
barriers
solutions
QI knowledge
patient safety
dedicated time
trainee roles
professional development