• Anita Valanju Shelgikar, Cindy Priddy, and Harrison R Van RV Department of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan..
• Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor, Michigan.
• J Clin Sleep Med. 2017 Oct 15; 13 (10): 1177-1183.

Study ObjectivesTo describe a sustainable program of teaching and implementing quality improvement (QI) in a 12-month sleep medicine fellowship.MethodsWe created a QI curriculum based on Accreditation Council for Graduate Medical Education (ACGME) and American Board of Medical Specialty (ABMS) Part IV Maintenance of Certification (MOC) requirements for QI. Two program faculty with prior QI training volunteered to mentor fellows. Our institution's central QI office houses QI experts who teach QI across the health system. One of these experts, referred to as the "QI consultant," helped us adapt QI teaching materials to include 4 online modules and 5 group sessions. Fellows worked in teams to complete 2 data-guided QI cycles.ResultsThe curriculum required 29 hours for fellows, 18 hours for faculty, and 55 hours for the QI consultant; now that teaching materials have been created, the QI consultant's involvement will decrease over time. Post-curriculum surveys showed that fellows' knowledge of QI concepts increased, as did their confidence performing QI activities. Fellows' QI projects objectively improved timeliness and quality of care for patients. Sleep medicine fellows and QI faculty mentors evaluated the curriculum positively. The curriculum met ACGME requirements for QI, and fellows and mentoring faculty received ABMS Part IV MOC credit upon completion of the curriculum.ConclusionsA QI curriculum can successfully be implemented into a 12-month sleep medicine fellowship to increase sleep medicine fellows' QI knowledge and confidence, meet ACGME and MOC requirements, and contribute to care of patients with sleep disorders.© 2017 American Academy of Sleep Medicine

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