Current Treatment Options in Pediatrics

, Volume 3, Issue 4, pp 374–385 | Cite as

Quality Improvement Education for Pediatric Residents and Fellows

  • Kristina A. ToncrayEmail author
Quality Improvement (DH Davis and J Lavelle, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Quality Improvement

Opinion statement

Quality improvement (QI) methodologies allow healthcare systems to improve the quality of care delivered to patients. Teaching trainees about these concepts and tools is now a required component of residency training. QI training in pediatric residency programs is generally well-accepted and feasible, and many programs include a project component that can effect change in clinical processes; however, there is lack of agreement on best practice standards for training residents in terms of content, format, and assessment. For example, though pediatric residents are generally satisfied with their QI training, one survey found that many did not use basic QI tools during their project design, implementation, and analysis. The majority of pediatric program directors note that a QI curriculum exists in their program but the formats vary; as opposed to residents, only 23% are satisfied with their current program. Additionally, some programs do not use a formal evaluation process to study and improve their curriculum. Innovations in teaching QI, such as focused residency tracks and faculty-resident co-learning, are exciting, but the priority must be creation of a standardized set of learning objectives for trainees. Barriers to successful QI training include lack of faculty expertise and cultural factors, such as misaligned values between the institution, GME, and/or residents. An emphasis on the scholarly output possible from QI projects may help assuage doubts for those who initially do not see the value of QI-based improvements.


Quality improvement Pediatric residents Pediatric fellows Systems-based practice Problem-based learning 


Compliance with Ethical Standards

Conflict of Interest

Kristina Toncray declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Division of Hospital Medicine, Department of Pediatrics, Department of Patient SafetyUniversity of Washington, Seattle Children’s HospitalSeattleUSA

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