I was happy to see this announcement the other day:
From the announcement:
“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.”
It's great to see residents exposed to Lean thinking and process improvement. As we discussed in a webinar that Dr. Jack Billi and I did earlier this year, PDSA and scientific improvement methods should come naturally to physicians, as scientists. We are also working with Dr. John Toussaint on an article for the European Medical Journal on this theme of medical science and improvement science.
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It still seems like most residents don't get the opportunity to learn about Lean — as a process improvement methodology or as (more importantly) a management system and culture.
When I worked for LEI in Boston back in 2009-2010, I was invited to come teach a session on Lean for residents at Beth Israel Deaconess Medical Center, as I blogged about here. They also had a patient there to learn and participate, and it was none other than e-Patient Dave de Bronkart. I linked to his multiple posts about the “Lean Retreat” there in my post. Man, I had a lot less grey hair then.
Dr. Greg Jacobson, CEO of KaiNexus, was introduced to Kaizen principles (and Masaaki Imai's seminal book KAIZEN) when he was an emergency medicine resident. That led to the publication of this journal article and to the founding of the company.
Greg was very much the exception, rather than the rule, when he was a resident not that long ago.
What does UCSF hope will come out of the education for residents?
“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.”
How much of this is happening out there in residency programs these days? Leave a comment and share your perspectives and observations.
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