President, National Patient Safety Foundation.
Chair, Quality & Patient Safety, Mt. Auburn Hospital
We are no longer accepting applications for fellowship to begin July 2014.
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The primary goal of the HMS Fellowship in Patient Safety and Quality is to train a cadre of physician-scholars who are prepared to lead operational improvement
efforts within the Harvard system and across the nation. This 2 year postgraduate program is for physicians who are in or have completed a residency or
fellowship program. The program is funded by CRICO (the Harvard malpractice insurer). Partners HealthCare is responsible for the overall administration of the program.
The fellowship will be in collaboration between quality and safety leadership at the Harvard institutions, including Massachusetts General Hospital, Brigham
and Women’s Hospital, Beth Israel Deaconess Medical Center, Children’s Hospital, Mount Auburn Hospital, and Partners HealthCare.
Each institution has local, national, and international leaders in the field of quality and safety. This rich supply of faculty with interest/expertise
will facilitate a successful fellowship experience for participants.
Fellows will each be based at one of the Harvard-affiliated sites (for a maximum of 5 fellows per year). Each fellow will be paired with at least one
mentor. Each institution’s Director/VP of Quality and Safety, along with faculty from CRICO will provide program oversight and assist with developing
mentor-mentee relationships and with selecting projects in both the inpatient and outpatient settings. Fellows will also rotate to affiliated community-hospitals,
office practices, and clinics during the course of the program.
Fellows will participate in projects, committees, and task forces that will enable them to develop competency in understanding the complexity of health
care delivery and how to effect change. They will be exposed to a wide array of tools, strategies, and methodologies in the fields of safety and quality
improvement. The fellowship will have a didactic as well as an “experiential” component (see Curriculum). Fellows will be expected to participate in and
then lead local improvement projects and other quality related activities. In addition, fellows will take coursework at Harvard School of Public Health,
and can choose to obtain a Masters in Public Health (tuition paid) and participate in an ongoing didactic lecture series and have opportunities to share
active projects with their colleagues for feedback. They will also author manuscripts describing their efforts, findings, and lessons learned for publication
in peer-reviewed quality/safety or general medical journals. Furthermore, opportunities to interact with local leading patient safety organizations will
be provided (including attendance at national meetings and elective rotations).
To maintain their clinical skills and to have insight into practical health care operations, fellows can maintain a small clinical practice equivalent
to 10-20% effort. Fellows will be expected to dedicate at least 80% of their time to fellowship activities. This percentage may vary depending on 1) whether
or not the fellow pursues an MPH degree, and 2) clinical responsibilities arranged with each fellow’s respective department. Fellows will receive a per annum stipend (using current NIH postdoctoral trainee formulas), as well as tuition payment.
- Understand the scientific basis of quality improvement and patient safety, including the epidemiology and nature of medical error, quality measurement
and data analysis, research and evaluation design, improvement tools and techniques, as well as best practices.
- Develop competence in designing and conducting QI projects using rigorous methods, the results of which can be communicated through publication.
- Learn to facilitate/lead healthcare professions in multi-disciplinary teams.
- Understand and navigate the complex dynamics of hospitals/clinical operations.
by the President and Fellows of Harvard College