We are no longer accepting applications for the Fellowship to begin July 2016. Details on the application process for 2017 are forthcoming.
(Due to program restrictions, applicants are required to be U.S. Citizens or have permanent U.S. resident status)
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 quality,
safety and operational improvement efforts. This 2 year postgraduate program is for physicians who are in or have completed a residency or fellowship program.
The program is funded by the CRICO/Risk Management Foundation of the Harvard Medical Institutions (the Harvard malpractice insurer). http://www.rmf.harvard.edu
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
Fellows will each be based at one of the Harvard-affiliated sites for a maximum of 4 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 can 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. (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).
To maintain their clinical skills and to have insight into practical health care operations, fellows can maintain a small clinical practice equivalent to 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), http://grants.nih.gov/grants/guide/notice-files/NOT-OD-15-048.html 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