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VA Chief Residents in Quality and Patient Safety (CRQS)

 

CRQS RFP: AY 2015

Purpose: The CRQS initiative allows facilities to request new physician chief resident base positions to enhance their ability to care for Veterans by redesigning medical education and patient care to include the area of quality and patient safety. As of the beginning of AY2015, VA will have 58 CRQS position across the United States.

Chief Residents: The CRQS is a non-accredited, post-residency position. Chief Residents must have completed their primary residency training for initial board eligibility and qualify for credentialing and privileging as a licensed independent practitioner in their specialty. CRQS is both a teaching and learning role, which must be distinguished from the more traditional administrative role of chief residents. CRQSs must be in "core" programs such as internal medicine, psychiatry, and general surgery. The requesting VA facility must have at least eight VA funded resident positions per Chief Resident position, including the CRQS.

Request for Proposals: In the spring of 2014, OAA will issue a request for proposals for additional CRQS positions. Facilities must apply for a CRQS position via a competitive online process. A strong curriculum must be demonstrated as well as the local availability of mentors who are qualified in quality improvement and in patient safety or in both. Moreover, support from the local facility in terms of protected time for the mentors and travel support to at least one off-site meeting per year for both the mentors and the CRQS must be demonstrated.

National Curriculum: Beginning July 1, 2012, all CRQS sites participate in a national curriculum that features:

  • A "CRQS Boot Camp" or immersion experience in the fall to teach advanced quality improvement and patient safety concepts, skills, and hands-on use of simulation in teaching
  • Monthly two-way interactive video-teleconferences, with pre-assigned preparatory work
  • A mentored project in QI/PS, with an expectation of presentation at a regional or national venue
  • Faculty development and networking of CRQS incumbents via online supports and websites.

Goals:

  1. Faculty development in the areas of quality improvement (QI) and patient safety (PS);
  2. Teaching QI & PS to all residents;
  3. Enhanced development of competency in system-based practice; and
  4. Improvements in institutional performance and patient safety through changes in the patient safety cultureeq

Partnerships:

  • Dartmouth Institute – the Dartmouth Institute Faculty are working hand-in-hand with the VA and National Center for Patient Safety to create a national curriculum as well CRQS tools to assist residents across the VA system.
  • VA National Center for Patient Safety

CRQS OAA Contacts:
Barbara K. Chang, MD, MA – Director, Medical and Dental Education
Judy Brannen, MD, MBA – Clinical Director, Graduate & Undergraduate Medical Education
Christy Howard, MSW – Project Manager, VA/OAA/Medical & Dental Education
Douglas E. Paull, MD, Director, NCPS
Linda C. Williams, MSI, RN, Program Specialist, NCPS
Vince Watts, MD, Psychiatry, White River Junction

Current CRQS Programs:

VISN 1
White River Junction
Boston
West Haven
VISN 8
Gainesville
Miami
Tampa
Orlando
San Juan
VISN 17
San Antonio
Temple
Dallas
VISN 2
Syracuse
VISN 9
Memphis
Nashville
VISN 18
Phoenix
VISN 3
New York
VISN 10
Cincinnati
Cleveland
VISN 19
Denver
VISN 4
Philadelphia
VISN 11
Detroit
Indianapolis
VISN 20
Portland
Seattle
VISN 5
Baltimore
Washington DC
VISN 11
Detroit
Indianapolis
VISN 21
Palo Alto
San Francisco
Northern CA
VISN 6
Durham
Richmond
VISN 12
Hines
Madison
Milwaukee
VISN 22
Loma Linda
San Diego
West Los Angeles
VISN 7
Atlanta
Birmingham
Charleston
VISN 16
Houston
New Orleans
VISN 23
Minneapolis
Omaha
Iowa City

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