Teaching/Scholarly Activities

601 Quality Improvement Elective I

Instructors: Jodi Abbott, MD and James Moses, MD

Contact: Nithya Swaminathan  email: nithyas@bu.edu

Number of Students: one-three per assigned faculty member

Period to be offered: One month

Description of elective:

In the current context of health care today and into the foreseeable future, health care professionals have two overarching responsibilities:

o Delivering high quality care and constantly undertaking efforts to improve the care they deliver
Medical students who are completing their undergraduate medical training must be equipped with the knowledge and skills that form the foundation for improving care within this context. Students on this elective will work with a faculty advisor with quality improvement expertise to:

o Identify a quality problem in a specific clinical area
o Assess and systematically analyze the problem using quality improvement tools and
o Complete a quality improvement project proposal.

To initiate the knowledge and skills development needed for future quality improvement efforts that will be required in graduate medical education and professionally after training. At the completion of the elective the expectation is that the student will have completed a QI project proposal that can be used to initiate and complete a quality improvement project defined in the Quality Improvement II Elective

** Students must have project and preceptor before submitting an add form to Makeba Kent. Please see the list of Quality Leaders below to contact for QI projects.

Department/Division                Department Quality Leader

Anesthesia                                   Mauricio Gonzalez
Cardiology                                   Alisa Rosen; Rob Eberhardt EP; Advay Bhatt (Risk)
Cardiology-Interventional       As above
Cardiology EP                            As Above
Dermatology                              Christina Lam
Emergency Med                        Willie Baker
Endocrine S                               Sara Alexanian
Family Med                               Charli Williams
Geriatrics                                   Won Lee
GI                                                Brian Jacobsen
GIM                                            Charlotte Woo
Hem/Onc                                  Gretchen Gignac
ID                                                Maura Fagan
Medicine                                    Karin Sloan
Nephrology                               Andrea Havasi
Neurology                                 Anna Hohler
Neuroradiology                       Glenn Barest
Neurosurgery                           Keith Davies
Ob/Gyn                                     Jodi Abbott
OMFS                                        Bradford Towne
Ophthalmology                       Susannah Rowe
Ortho Surgery                         Andrew Stein
Otolaryngology                       Michael Platt
Pathology                                 Mike O’Brien
Pediatrics                                 James Moses
Psychiatry                                Joanna Buczek
Pulm/CCM                               James Murphy
Radiology                                 Glenn Barest
Rheumatology                         Mike York
Surgery                                     David McAneny
Surgery Critical Care              David McAneny
Urology                                     Linda Ng
Vascular Surgery                     David McAneny

 

602 Quality Improvement Elective II

Instructors: Jodi Abbott, MD and James Moses, MD

Contact: Nithya Swaminathan     email: nithyas@bu.edu

Number of Students: one-three per assigned faculty member

Period to be offered: One month

Description of elective:

Students on this elective will work with a faculty advisor with quality improvement expertise to:
• Assess and systematically address a problem previously identified in QI Elective I using quality improvement tools and
• Actively participate and/or lead the design and implementation of a quality improvement project to address that quality problem
• Complete a quality improvement project abstract and summary

To provide the knowledge and skills needed for medical students to develop future quality improvement efforts that will be required for residency. At the completion of the elective the expectation is that the student will have completed a quality improvement project involving two tests of change (PDSA). QI projects will be used to create an abstract and project summary that can be submitted for presentation at a local/national meeting, funding for further support of QI project, and/or certification from the Institute for Healthcare Improvement Open School’s QI Practicum Certificate.
Pre-requisite for Quality Improvement Elective II is successful completion of the requirements for Quality Improvement Elective I including the assigned IHI Open School modules (QI 101-105).

 

603.1 Patient Advocacy and Community-Based Resources in Clinical Medicine

Course Director: Megan Sandel, MD

Department of Pediatrics, Vose 3

Telephone: (617) 414-3680

E-mail: Megan.Sandel@bmc.org

Location:  Boston Medical Center

Number of Students: 1-2 students per block

Period to be offered: Blocks 9-20

Description of Elective:

During their time at Boston Medical Center, BUSM students are allowed the unique opportunity to serve a patient population that is reportedly 70% underserved and includes patients who may be low-income, immigrants, non-English speaking, or some combination of all three. The health of these patients is often intimately tied to social, economic, or other non-biomedical circumstances, requiring their medical teams to craft a treatment plan that accommodates these social needs. While health care providers are well trained to address medical issues, this elective is designed to provide more intensive training around social determinants of health and the various ways physicians can advocate for social change to improve the lives of their patients.

This elective will focus on helping medical students explore the social determinants of health and how physicians can assess and manage these social determinants of health as part of an inter-professional team. The main faculty mentor will be Dr. Megan Sandel, MD, MPH, who will meet with each student and help to coordinate the clinical setting in which the student will spend the four week block.  Students will spend 50-75% of their time in this clinical setting or community based organization devoted to underserved patients (examples include Boston Healthcare for the Homeless Program; GROW clinic, or Project RESPECT Clinic).  Students, in collaboration with Dr. Sandel, will choose a BMC faculty mentor at their clinical site who is invested in patient advocacy and a subject expert in the student’s area of interest.  The other 25-50% of time will be spent doing an advocacy focused research or intervention project. Details of the elective must be worked out in a meeting with Dr. Sandel at least 1 month prior to the start of the elective block.