ATTENTION FOREIGN APPLICANTS:
PLEASE NOTE THAT DETAILS FOR THE INTERNATIONAL PROCESS ARE NOT YET AVAILABLE; DETAILS WILL BE PROVIDED BY EARLY/MID SEPTEMBER.
We are currently accepting applications for Fellowship (U.S. candidates only) to begin in July 2015, with an application deadline of October 10, 2014
Program Description (U.S. Candidates only)
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/Risk Management Foundation (the Harvard malpractice insurer). Partners HealthCare is responsible for the overall administration of the program.
The fellowship is in collaboration with quality and safety leadership at the Harvard institutions, including Massachusetts General Hospital, Brigham and Women’s Hospital, Beth Israel Deaconess Medical Center, Dana-Farber Cancer Institute, Boston Children’s 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 3 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/Risk Management Foundation 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. In addition, fellows will share some educational time with candidates from the International fellowship in patient safety and quality.
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. (Note: An absolute requirement for admission to HSPH is a standardized test score such as the GRE or the MCAT.) Fellows 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).
Fellows are allowed to maintain a clinical practice equivalent to 35% effort at maximum. Fellows will be expected to dedicate the balance of their time to fellowship activities. The allocation of this time may vary depending on: 1) whether or not the fellow pursues an MPH degree, and 2) individual arrangements with regard clinical responsibilities. This will need to be approved by the Fellowship Program.
- 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.
** U.S. APPLICANTS ONLY **
by the President and Fellows of Harvard College