In addition to a three-year, rolling curriculum, our program also offers a dedicated teaching rotation in the third year, as well as more advanced training.
Our longitudinal training in point-of-care ultrasound (POCUS) results in residency graduates with skills that would normally only be obtained in radiology or emergency medicine programs.
Quality improvement benefits our patients and our systems, but it also provides our residents with an opportunity to lead a focused project often resulting in a publication or presentation at a regional or national society meeting. We have carved-out protected time for this work and our VA-funded Chief Resident for Quality & Safety is just one of the mentors guiding residents.
Through the department, we have been able to develop an app available for our residents called qUIkcoach. This is a new app that is able to request and provide just-in-time feedback on a variety of different skills including clinical reasoning, communication, oral presentation, and notes. This allows for more directed feedback with a quicker turnaround time.
The University of Iowa Internal Medicine Residency Program Point-of-Care Ultrasound (POCUS) Curriculum is a longitudinal, integrated, and progressive learning experience. The POCUS curriculum is focused on teaching basic bedside ultrasonography and how it is utilized and applied to patient care in clinical internal medicine. The curriculum is integrated into and taught longitudinally during the academic half day during each resident’s ambulatory week (y-week). POCUS instruction is delivered by experienced faculty members, critical care fellows, and chief residents. POCUS skills assessments are completed for residents during each year of their training and the POCUS curriculum is modified on a yearly basis to best adapt to the needs of the trainees.
Curriculum Goal: At the end of the longitudinal POCUS curriculum, the resident will be able to acquire, interpret, and apply focused cardiac, lung, pleural, abdominal, and vascular ultrasound imaging into their clinical reasoning and medical decision making.
Teaching Methods:
Modules:
Basic POCUS Modules (PGY-1) | Advanced POCUS Modules (PGY-2 and above) |
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Assessment: Pre- and post-curriculum assessment is completed annually to assess each individual trainee’s skills and knowledge acquisition and retention. These yearly assessments are also used to assess the curriculum and guide ongoing improvements in the POCUS curriculum. Assessment is completed using live ultrasound skills testing with faculty proctors, an electronic ultrasound knowledge assessment, and a resident survey.
Check out the
QI information on our blog
The Internal Medicine Residency Program at the University of Iowa is committed to engaging residents in team-based Patient Safety/Quality Improvement projects to develop their knowledge and skills. It is our goal for every resident to be empowered to impact the quality and safety of their patients’ care during their residency and in their future careers. Our ground breaking curriculum was published in the Journal of Graduate Medical Education.
Carly Kuehn, MD
Educational Director - Safety and Quality
Clinical Professor of Internal Medicine
Samuel Zetumer, MD
Chief Resident of Quality and Safety
Iowa City VA Medical Center
The University of Iowa Department of Medicine understands that Quality Improvement and Patient Safety presents a phenomenal opportunity for scholarship for our residents. To showcase our commitment to our patient’s safety and to provide an avenue for scholarship the University of Iowa Hospitals and Clinics host an annual Quality and Safety Symposium in which our resident teams are given the opportunity, encouragement, resources, and mentorship to submit and present their projects. After this, many teams submit their projects to large regional and national meetings.
Since the development of our curriculum we have had…
“I felt as though I was making a quality change to improve the outpatient experience.”
“The QI curriculum gave us an opportunity for ownership over real positive change for our patients.”
“I actually know now the basics of how to design, implement, and interpret the results of a quality improvement project, which I didn’t know before.”
We are committed to tailoring our residents experience at Iowa to their career goals. Here is how we do that:
We are committed to being a program that is continually improving. That requires a lot of resident input. He are the formal ways we get that input.
One per month, residents and residency leadership gather during noon conference to talk about updates within the program and celebrate the successes of our residents. This time is also used as an open floor forum for residents to bring up concerns and provide input on changes that will help improve the residency program.
The Resident Liaison Committee (RLC) is comprised of 15-18 residents that serve as representative for the entire cohort of residents. The committee provides a forum for residents to voice concerns directly with program administration and participate in the ongoing evolution of the residency program and curriculum.
The Program Evaluation Committee (PEC) is charged with ensuring the quality of the residency program by overseeing program evaluation, design, and improvement.
The Humanities and Wellness Committee (HWC) is comprised of residents in differest stages of the program, one chief resident, and one faculty. The goal of the committee is to establish a formal framework by which to improve wellness, cohesion between residents, and the residency program. The committee aims to facilitate team-building by way of mentorship and wellness events.
Geo-localization of the general medicine team to the floor where all the team rooms are.
Free medical clinic now counts as a COC half day
Distinction Tracks
Increased simulation of RRTs and Codes
Restarting international health rotations
Health equities curriculum
Wellness curriculum
Framework Fridays
Master Clinician Mystery Case Series