We believe successful health care systems of the future will be physician-led, and those skills are not traditionally taught in medical school.
All residents who complete the Tidelands Health MUSC Family Medicine Residency Program will develop core competencies to become high-impact leaders who understand the health care environment, professionalism and service and relationship management and who develop the business skills and leadership skills to support the transition to value-based care and the process of care improvement.
PGY1 - Building Highly Reliable Organizations
1. The resident will understand and develop a proficiency in process improvement and complete Green Belt Lean/6 Sigma training.
2. The resident will understand how to use data to reduce variation to improve patient safety and quality metrics.
3. The resident will understand how to use the tools of Lean/6 Sigma to analyze and improve workflow.
4. The resident will understand how to lead and communicate effectively in a team to create a culture of safety in an organization or practice.
Eleven didactic sessions:
• Case studies
• Complete IHI safety modules and other safety activities
• Quality and safety issues/discussions (care transitions, partnering with patients for improved safety, the complete care model, safety in the ambulatory practice site, creating a culture of safety, communication and listening, inclusive leadership and safety)
• Readings from books and articles
PGY1 will include attendance at one board of trustees quality and safety committee meeting.
- Green belt training
- One-day sessions: health care trends, informatics and analytics
Project: small team quality improvement project; small team paper or poster presented to group and senior leadership
PGY2 - The Health Care System
1. The resident will understand the roles of regulation, compliance and health policy on the development of the health care system.
2. The resident will understand the structure of the health care system, safety net programs and changing forces.
3. The resident will understand how patients and families are having an impact on health care system evolution.
4. The resident will understand how financing health care works.
5. The resident will understand how population health, value-based purchasing and the use of data analytics are changing care for patients.
Eleven didactic sessions:
• Case studies and discussions (health policy, personnel management, regulation and compliance, patient satisfaction, strategy, marketing, clinical integration)
• Readings from books
• Completion of IHI modules on patient communication
• Session on impact of digital health care on consumers, population health
PGY2 will include attendance at one community advisory board meeting and completion of a patient shadowing experience.
One week of sessions:
- New models of care
- Population health
- Financing health care -- moving from volume- to value-based purchasing
- Patient experience -- measuring satisfaction, understanding decision- making, multi-generational differences and issues
- End-of-life care
One week at Tidelands Community Care Network
One week of job sharing - administration, nursing, physical therapy, pharmacy, patient advocate, ER, patient scheduling, etc.)
One-day sessions on health care trends and patient-centered care
Project: small team interprofessional project to improve the patient experience (must engage patients in some aspect of project) while reducing cost of care; paper and poster presented to group and leadership
PGY3 - The Essentials of Leadership
1. The resident will understand the difference between leadership and management and be aware of his or her own leadership style.
2. The resident will understand how to effectively coach and mentor others.
3. The resident will understand how to provide effective feedback.
4. The resident will understand how to lead and manage change.
5. The resident will gain the knowledge and skills necessary to manage various components of a practice that include organization, administration, communication, marketing and patient care aspects.
Nine didactic sessions:
• Case studies
• Complete IHI leadership module
• Discussions and readings
• Complete leadership assessment tool
• Providing effective feedback
• Mentoring and coaching
• Emotional intelligence
• Leading change
• Effective communications
• Dealing with ambiguity
• Management vs. leadership
• Conflict management
One-day session on health care trends
One-week session on practice management
Project: small team challenge to design innovative medical practice or take a problem in current practice and outline process to solve, who will be involved in solution, data needed, etc.; paper or poster presented to group