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Abstract Details

Resident Driven Quality Improvement: A Self-Sustaining Model for New Milestones
Education, Research, and Methodology
P9 - Poster Session 9 (5:30 PM-6:30 PM)
7-006

The ACGME updated milestones for graduate neurology medical education in December 2020, with implementation July 1, 2021. One of the most significant shifts in the recent revision was a shift to include more emphasis on systems-based practice (SBP), including QI.

To develop a model for resident-driven quality improvement (QI) in order to meet the new neurology residency milestones put forth by the American College of Graduate Medical Education (ACGME).
Residents were directed to select a group QI topic. Residents then participated in an interactive QI workshop led by a current PGY-4 to learn the FOCUS-PDCA (Find-Organize-Clarify-Understand-Select/Plan-Do-Check-Act) framework of QI. From this, PGY-3 residents devised and submitted a formal QI proposal and were directed to continue PDCA cycles for this project throughout the year under the direction of the PGY-4 class and with assistance from the PGY-2 and PGY-1 classes. Final results of the project will be analyzed and presented to the neurology department by the new PGY-4 class at the start of the next academic year to teach new residents the FOCUS-PDCA framework, following which residents will select a new QI subject for the year. 
The residents selected the initial management of status epilepticus (SE) for their subject. At the QI workshop, they identified two initial QI objectives: conduct needs assessment for process variability in SE management and increase use of institutional order-set to improve efficiency. They then submitted a formal QI proposal. Chart review and data analysis of interventions remained in process at the time of abstract submission.
This self-sustaining QI model is an effective method for neurology residents to acquire the skills needed to identify, develop, implement, and analyze a QI project. Residents participating in this model should meet at least a milestone level 4 for the QI sub-competency of SBP during PGY4 year.
Authors/Disclosures
Micaela Rose Owens, DO (Marshall University)
PRESENTER
Dr. Owens has nothing to disclose.
Alyssa Marie Smith, MD (University of Rochester Medical Center) Dr. Smith has nothing to disclose.
Cynthia Correll, MD (Cayuga Medical Associates) Dr. Correll has nothing to disclose.
Anthony Noto, MD (Geisinger Medical Center) Dr. Noto has nothing to disclose.
Megan E. Esch, MD (Geisinger Medical Center) Dr. Esch has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Biogen. Dr. Esch has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Biogen. Dr. Esch has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Novartis. The institution of Dr. Esch has received research support from PCORI.
Joseph C. Alario, DO (Geisinger Medical Center) Dr. Alario has nothing to disclose.