The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum to Train Future Leaders in Patient Safety and Quality Improvement

Michael L. Rinke, Clare K. Mock, Nichole M. Persing, Melinda Sawyer, Elliott R. Haut, Nathan J. Neufeld, Paul Nagy

Research output: Contribution to journalArticle

6 Scopus citations


The objective was to determine if a year-long, multispecialty resident and fellow quality improvement (QI) curriculum is feasible and leads to improvements in QI beliefs and self-reported behaviors. The Armstrong Institute Resident/Fellow Scholars (AIRS) curriculum incorporated (a) a 2-day workshop in lean sigma methodology, (b) year-long interactive weekly small-group lectures, (c) mentored QI projects, and (d) practicum-based components to observe frontline QI efforts. Pre–post evaluation was performed with the Quality Improvement Knowledge Application Tool (QIKAT) and the Systems Thinking Scale (STS) using the Wilcoxon matched-pairs signed-rank test. Sixteen residents and fellows started the AIRS curriculum and 14 finished. Scholars’ pre and post mean scores significantly improved: STS 3.06 pre versus 3.60 post (P

Original languageEnglish (US)
Pages (from-to)224-232
Number of pages9
JournalAmerican Journal of Medical Quality
Issue number3
Publication statusPublished - 2014



  • education
  • fellows
  • patient safety
  • quality improvement
  • residents

ASJC Scopus subject areas

  • Health Policy

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