Supporting Care Transformation Through a Comprehensive Graduate Medical Education Curricular Program in a Department of Internal Medicine.

ABSTRACT

BACKGROUND: The imperative to train physicians in skills required to lead care transformation is increasingly recognized, yet few Graduate Medical Education (GME) programs exist to meet this need. AIM: Describe the development, outcomes, and lessons learned from a novel GME care transformation curricular program. SETTING: Department of Internal Medicine (IM) at Dell Medical School at The University of Texas, Austin. PARTICIPANTS: Between 2020 and 2023, 33 IM residents and fellows completed training with participation in the Care Transformation program. PROGRAM DESCRIPTION Department leadership developed a comprehensive educational and experiential program that included (1) Dell Medical School-wide Distinction in Care Transformation curriculum; (2) Primary Care Residency track with care transformation projects; (3) participation in the national Veterans Affairs Chief Resident in Quality and Safety program; and (4) Hospital Medicine Fellowship in Quality and Safety. PROGRAM EVALUATION Each trainee led a care transformation project spanning a variety of topics and settings. Graduates who responded to a follow-up survey (22 of 33 graduates) reported they used skills learned through the program in their current roles and these experiences better prepared them for fellowship and/or faculty positions. DISCUSSION: The Care Transformation program provides real-world experiences and skillsets that are increasingly valuable in modern healthcare delivery.