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Medical Education
Graduate Medical Education

UCSF to Train Residents in Lean Management and Process Improvement

UC San Francisco will train medical residents and fellows in Lean management principles, as part of a broader institutional commitment to continuous quality improvement. The effort is being supported in part with a grant from the Accreditation Council for Graduate Medical Education (ACGME) through its Pursuing Excellence in Clinical Learning Environments initiative. UCSF was one of eight medical training sites nationally to receive the competitive grant.

The Pursuing Excellence initiative emerged from an intensive examination by ACGME that involved nearly 300 visits to find out how to help teaching hospitals and other clinical settings improve patient safety, health care quality, care transitions, supervision, duty hours, fatigue management and professionalism. Resident engagement in patient safety and health care quality was one of four themes that arose from ACGME’s examination. The others, which UCSF will also address, are integrating graduate medical education into the organization’s strategic planning; continuing education for faculty and program directors in health care quality, patient safety and other systems-based initiatives; and using education resources across the different health care professions.

Over four years, UCSF will seek to incorporate changes already underway in the health care delivery system into graduate medical education. Residents will emerge better prepared for the evolving value-based payment environment, and patients will experience care that is more effective, safe, timely, patient-centered and equitable.

Read full story by Laura Kurtzman