GME Quality Improvement: Poster Symposium and Competition Submission Form

SUBMISSION DEADLINE: JANUARY 15, 2018

If you have a poster or Power Point, please send to Julie Rhodes with the Office of Graduate Medical Education at jrhodes@siumed.edu no later than January 15, 2018. Notifications of acceptance will be sent the first week of February 2018. The poster reception will be held Monday, February 19, 2018, from 5:30 to 7 p.m. at the MCLI Nelson Auditorium.

Our submission form and judging criteria follow the Revised Standards for Quality Improvement Reporting Excellence (SQUIRE) guidelines. For additional information on SQUIRE guidelines, visit http://www.squire-statement.org/index.cfm?fuseaction=Page.ViewPage&PageID=471.

Quality Improvement Project Title *

Name *

E-mail *

Program and PGY *

Anticipated graduation date *

Specific project responsibilities *

Faculty mentor name *

Faculty mentor email *

Mentor specific project responsibilities *

Why did you start? *

Describe the nature and significance of the problem. How and why did you choose this problem? How does the current literature support or inform the problem you chose? What is your AIM statement – “how good, by when”?

What did you do? *

What QI methodology did you apply (PDSA cycles, Six Sigma DMAIC, etc.)? What intervention did you choose? How do you know that your intervention made a difference? Describe your steps and measures.

What did you find? *

What were your results? Were there any unanticipated outcomes, problems or failures?

What does it mean? *

How did these results apply to the initial problem? What is the impact of the results on care delivery or clinical outcomes? What did you learn that might change how you practice medicine?

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GME Quality Improvement: Poster Symposium and Competition Submission Form

SUBMISSION DEADLINE: JANUARY 15, 2018