Advanced Competency in Quality Improvement

The Advanced Competency in Quality Improvement (QI) for pediatric residents fosters and encourages interest in QI by early and sustained involvement and exposure to many aspects of QI, including QI education, involvement in QI projects, presentation of QI results, and observation of effects of QI initiatives in such areas as patient outcomes, staff function, and educational activities. This will be accomplished through experiential learning, seminars, mentoring, and engagement in an individual QI project in the resident’s area of QI interest. This QI experience will include exposure to faculty who focus on QI as part of their professional activities and career interests.


  • Develop residents who are well prepared to embark on a career that incorporates meaningful QI activities.
  • Develop residents who demonstrate awareness and productivity in QI concepts and methodologies.
  • Increase resident scholarly activity on a national level in pediatric QI.
  • All participating residents will play a leadership role in at least one QI activity within two years after pediatric residency or fellowship.


Through participation in this program, residents will be able to:

  • Demonstrate fundamental knowledge of QI concepts and methodologies.
  • Demonstrate ability to conduct a QI needs assessment in an area of concern at NCH.
  • In partnership with a trained QI mentor resource, participate in design and conduct at least 3 PDSA cycles of a QI project that addresses a need at NCH.
  • Effectively disseminate project results through an oral presentation and abstract at a local and/or national meeting.
  • Demonstrate ability to contribute to publication of QI project work in an academic journal.


  • High Pass Score (>85%) in QI knowledge assessment upon completion of program
  • Presentation of QI project at NCH to QI senior leaders
  • Abstract submission on QI project to local and/or national meeting
  • QI Manuscript submitted (can be devoted to already-completed QI project)
  • Quality Improvement Skill Acquisition Milestones
  • Post-graduation assessment at one, two, and five years to assess ongoing QI activities

Learning Methods

  • Completion of 2-hour QI Education Overview course; read NCH Guide for Driving Improvement, 2015
  • Selected readings, online IHI Modules, NCH Quality Tools School classes to complement curriculum
  • Semi-annual retreats with didactics and QI discussions devoted to greater competency in QI work
  • Experiential learning through active role in QI project with faculty mentor resource
  • In-depth semi-annual one-on-one mentorship meetings with QI faculty resource
  • Additional meetings and/or dinners devoted to QI career discussion

Program Requirements


  • Must complete formal commitment to the program
  • Begin with at least 18 months remaining in training program


  • Establish a QI mentor within 3 months of commitment to the program
  • Mentors should have record of QI work at NCH and be approved NCH QI Project Leaders
  • Conduct a semi-annual review with QI mentor

Research/Scholarly Work Product:

  • QI project completed using NCH QI process
  • QI project proposal must be approved by NCH QI leadership team
  • Submission of QI project abstract at local and/or national venue(s)
  • Presentation: Residents will present their QI project outcomes at NCH Monthly QI Leadership meeting
  • QI manuscript submission to academic journal

Program Faculty