Quality Improvement – FAQT

(Updated Oct 2021)

Curriculum Overview

Fellows will be assigned to teams longitudinally with one fellow from each PGY year assigned together. The 3^rd year fellow for each team serves as the “team leader.” This fellow will be responsible for directing team activities, meeting deadlines for submission of materials, and presenting results at end of year event. Each group will identify a project or area of interest; alignment with one of the UF Health or Malcom Randall VAMC quality priorities is encouraged. Each group will present the results of their project at the end of the academic year. Projects will be judged on innovation, impact on care, methodology, and presentation. Fellows will be expected to complete three QI projects during their training, one per year. Fellows are encouraged to consider QI projects that could go through multiple iterations and be repeatedly improved each year.

To date, 52 projects and 67 improvement cycles have been completed through the FAQT curriculum. The projects have resulted in 10 publications and 17 external presentations, and have received 10 awards on the local, state, and national levels including two finalists for the American Society of Nuclear Cardiology Choosing Wisely Award and a national finalist in the American College of Physicians Abstract Competition.

In 2020, the curriculum was successfully spread to the USF Cardiology Fellowship, and Dr. Winchester is willing to collaborate with other program directors to adopt or adapt FAQT to help other programs.

1. http://www.choosingwisely.org/resources/updates-from-the-field/asnc-names-choosing-wisely-challenge-winners/
2. https://www.asnc.org/blog_home.asp?display=92
3. https://www.acponline.org/system/files/documents/membership/residents/competitions-awards/national-abstract-competition/rfm-oral-presentation-times-2018.pdf

Review Past Quality Improvement Projects

Curriculum and Related Manuscripts

1. Winchester et al. Critical Pathways in Cardiology 2016
   • https://www.ncbi.nlm.nih.gov/pubmed/27183251
   • http://journals.lww.com/critpathcardio/Abstract/2016/06000/Postgraduate_Education_in_Quality_Improvement.2.aspx
2. Winchester et al. CV Innovations and Applications 2019
   • https://www.ingentaconnect.com/content/cscript/cvia/2019/00000004/00000001/art00001
3. Winchester DE. J Am Coll Cardiol 2020
   • https://www.onlinejacc.org/content/74/20/2533
   • https://pubmed.ncbi.nlm.nih.gov/31727293/

Published Projects

• Reducing Rarely Appropriate Myocardial Perfusion Imaging
  • https://openheart.bmj.com/content/4/1/e000589
  • https://europepmc.org/article/pmc/pmc5471866
• Outpatient Infusions for Acute CHF
  • https://pubmed.ncbi.nlm.nih.gov/31449962/
• Stress First Protocol to Reduce Radiation During MPI
  • https://pubmed.ncbi.nlm.nih.gov/31206046/
• Pharmacy Assisted Protocol for Management of Anti-arrhythmic Drugs
  • https://pubmed.ncbi.nlm.nih.gov/27630191/
• Reducing Low-Value Preoperative Consultations
  • https://periop.jmir.org/2020/1/e17669/
• Promoting Cardiac Rehabilitation in Acute Coronary Syndrome Patients
  • https://journals.lww.com/critpathcardio/Fulltext/2021/09000/Promoting_Cardiac_Rehabilitation_in_Acute_Coronary.1.aspx